Search › Georgia › 343900000X
Willie Smith
NPI 1184331274 · on the registry since 2022 · sole proprietor
Practice
- Address
- 6399 Stonelake Dr Sw
Atlanta, GA 30331 - Phone
- (470) 330-4827
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-31
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