Individual
JENNIFER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4151 MEMORIAL DR, DECATUR, GA 30032-1504
(404) 974-4820
Mailing address
4151 MEMORIAL DR, DECATUR, GA 30032-1504
(404) 974-4820
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN039691
GA
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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