AMBERNISHIA QUANAVIA SMITH
Individual Provider (NPI-1)
Active
Home Health
Provider Information
- NPI Number
1871298141- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 705 SPRING VALLEY RD LOT 223, ATHENS, GA, 306050000
- Phone
- (706) 372-1788
- Fax
- (706) 372-1788
Specialties & Taxonomies
Home Health
Primary License: GA #23063541