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1255952107
EDMUND EARL SMITH
ALPHARETTA, GA
NPI
1255952107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 11049)
Enumeration Date
2020-05-01
Last Update Date
2024-07-23
Business Address
Mr. EDMUND EARL SMITH Physician Assistant
13081 HIGHWAY 9 N
ALPHARETTA, GA 30004-5150
Phone number: 770-521-6690
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Mailing Address
Mr. EDMUND EARL SMITH Physician Assistant
580 HOLDERNESS ST SW
ATLANTA, GA 30310-1747
Phone number: 404-788-9091
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