Individual
EMMA CAROLINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3929 PEACHTREE RD NE STE 250, BROOKHAVEN, GA 30319-3374
(404) 352-1053
Mailing address
900 CIRCLE 75 PKWY SE STE 1700, ATLANTA, GA 30339-3087
(770) 953-6929
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/07/2023
Last updated
11/14/2023
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