Individual
AMBERNISHIA QUANAVIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
705 SPRING VALLEY RD LOT 223, ATHENS, GA 30605-0000
(706) 372-1788
(706) 372-1788
Mailing address
705 SPRING VALLEY RD LOT 223, ATHENS, GA 30605-0000
(706) 372-1788
(706) 372-1788
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
23063541
GA
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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