AMIELLE LYDIA SMITH

MARTINEZ, GA
NPI1861009375
Former NameAMIELLE LYDIA BURCH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  00000)
Enumeration Date2020-09-29
Last Update Date2022-01-07
Business Address
AMIELLE LYDIA SMITH PAC
4106 COLUMBIA RD STE 103
MARTINEZ, GA 30907-1482
Phone number: 706-863-1440
Mailing Address
AMIELLE LYDIA SMITH PAC
4106 COLUMBIA RD STE 103
MARTINEZ, GA 30907-1482
Phone number: 706-863-1440
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