Individual
JULIA DIANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 SHORTER AVE NW STE 201, ROME, GA 30165-4256
(706) 509-3300
Mailing address
100 WOODROW WILSON WAY NW APT 125, ROME, GA 30165-1585
(229) 921-2155
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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