Individual
AMY D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
896 HIGHWAY 81 E, MCDONOUGH, GA 30252-2914
(678) 732-1520
Mailing address
2020 GLENROY PL SE, SMYRNA, GA 30080-2522
(678) 469-2167
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN156014
GA
363LF0000X
Family Nurse Practitioner
Primary
RN156014
GA
Other
Enumeration date
12/04/2006
Last updated
09/14/2021
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