NPI 1891063707

Angela Smith, CNAPCT

Practitioner Contractor Riverdale, GA

Practice location

Address: 474 Roy Huie Rd, Riverdale, GA 30274-1826
Phone: (770) 709-1741

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence CN000003210 (GA)

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Registry record

NPI: 1891063707
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Dec 2011
Record last updated: 6 Dec 2011

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.