Individual
BRIDGETTE SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2919 HERRON LN SW, ATLANTA, GA 30349-1501
(404) 343-3988
Mailing address
2919 HERRON LN SW, ATLANTA, GA 30349-1501
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202138
GA
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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