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1902303985
SHADE SMITH
ATLANTA, GA
NPI
1902303985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA 233880)
Enumeration Date
2018-04-06
Last Update Date
2018-04-06
Business Address
SHADE SMITH NP
1605 CHANTILLY DR NE STE 300
ATLANTA, GA 30324-3270
Phone number: 404-785-5437
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Mailing Address
SHADE SMITH NP
985 MANOR DR SE
SMYRNA, GA 30080-4213
Phone number: 404-312-9925
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