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Individual

CAROLYN A. SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
1365 CLIFTON RD NE, SUITE B2200, ATLANTA, GA 30322-1013
(404) 778-5770
(404) 778-4472
Mailing address
1365 CLIFTON RD NE, SUITE B2200, ATLANTA, GA 30322-1013
(404) 778-5770
(404) 778-4472

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002587
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002587
PHYSICIAN ASSISTANT LICEN
GA
Enumeration date
08/05/2006
Last updated
07/08/2007
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