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Search › Georgia › 332B00000X

Kenneth Smith

NPI 1851572051 · on the registry since 2007 · sole proprietor

Practice

Address
2191 Northlake Pkwy
Bldg. #11, Suite-J
Tucker, GA 30084
Phone
(770) 908-5666
Fax
(770) 908-5675
Organisation at this address
Medlife Medical Supply Llc
Americare Medical And Surgical Supply Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
332B00000X
332B00000X
Also registered as
332BX2000X
Sex
Male
Record last updated
2008-02-29

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