Individual
BRENDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4841 LENORA CHURCH RD, SNELLVILLE, GA 30039-7707
(404) 510-3888
(770) 679-9494
Mailing address
4841 LENORA CHURCH RD, SNELLVILLE, GA 30039-7707
(404) 510-3888
(770) 679-9494
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN071509
GA
163WA2000X
Administrator Registered Nurse
NHA005147
GA
163WC1500X
Community Health Registered Nurse
RN071509
GA
163WG0600X
Gerontology Registered Nurse
RN071509
GA
163WH0200X
Home Health Registered Nurse
RN071509
GA
163WM0705X
Medical-Surgical Registered Nurse
RN071509
GA
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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