Individual
KATHERINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-AA
Contact information
Practice address
1000 JOHNSON FERRY ROAD, ATLANTA, GA 30342-1701
(770) 645-9181
(770) 645-8455
Mailing address
3155 N POINT PKWY, ATTN CREDENTIALING DEPT, BUILDING F, SUITE 100, ALPHARETTA, GA 30005
(770) 645-9181
(770) 645-8455
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
002700
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000234E
—
GA
05
—
100000234G
—
GA
05
—
100000234H
—
GA
Enumeration date
01/09/2007
Last updated
06/27/2008
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