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1255532495
STACY M. SMITH
ATLANTA, GA
NPI
1255532495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: GA LD002671)
Enumeration Date
2007-05-29
Last Update Date
2007-07-08
Business Address
-- STACY M. SMITH RD,LD
261 PARKWAY DR NE
ATLANTA, GA 30312-1210
Phone number: 404-265-6468
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Mailing Address
-- STACY M. SMITH RD,LD
3501 WALDROP TRL
DECATUR, GA 30034-7463
Phone number: 404-229-2768
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