KISHA SMALLEY

MCDONOUGH, GA
NPI1124645395
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: GA  F07200350)
Enumeration Date2020-07-02
Last Update Date2020-07-02
Business Address
KISHA SMALLEY FNP
117 GAMBIER CV
MCDONOUGH, GA 30252-6273
Phone number: 904-536-3032
Mailing Address
KISHA SMALLEY FNP
117 GAMBIER CV
MCDONOUGH, GA 30252-6273
Phone number: 904-536-3032