SearchGeorgia225200000X

Tasha Smith, PTA

NPI 1073892394 · on the registry since 2011

Practice

Address
110 Brandywine Blvd
Fayetteville, GA 30214
Phone
(770) 461-2928
Organisation at this address
Eagle Acquisition I Llc
Fayetteville Ga Opco Llc
Lafayette Health Care Center, Inc.
Fayetteville Center For Nursing & Healing Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
225200000X
225200000X
Also registered as
225200000X
Licence states on file
GA, DE
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-08-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia