MARIANNE JACKSON SMITH

CORNELIA, GA
NPI1861472193
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183700000X Pharmacy Technician
(Licence:   150101586580537)
Additional Taxonomies225CA2500X Rehabilitation Counselor, Assistive Technology Supplier
(Licence:   1002338)
Enumeration Date2006-01-20
Last Update Date2007-07-08
Business Address
-- MARIANNE JACKSON SMITH CPhT, ATS, CRTS
639 IRVIN ST
CORNELIA, GA 30531-3267
Phone number: 706-778-4918
Mailing Address
-- MARIANNE JACKSON SMITH CPhT, ATS, CRTS
PO BOX 99
CORNELIA, GA 30531-0099
Phone number: 706-778-7369