NPI 1104614981
Kimbyatta Smith
Practice location
- Address
- 591 Mary Erna Dr, Fairburn, GA 30213-2721
- Phone
- (678) 369-3217
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1104614981
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Apr 2025
- Record last updated
- 30 Apr 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.