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1336667385
JACQUELINE SMITH
DECATUR, GA
NPI
1336667385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 8598)
Enumeration Date
2017-08-30
Last Update Date
2018-03-17
Business Address
JACQUELINE SMITH
2701 N DECATUR RD
DECATUR, GA 30033-5918
Phone number: 404-501-1000
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Mailing Address
JACQUELINE SMITH
2260 ROCKWELL DR
BUFORD, GA 30519-6440
Phone number:
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