Kimbyatta Smith

NPI #1104614981 in Fairburn, Georgia

Provider Information

NPI Number
1104614981
Entity Type
Individual
Name
Kimbyatta Smith
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Apr 30, 2025
Last Updated
Apr 30, 2025

Practice Location

Address
591 MARY ERNA DR
State
Georgia
ZIP Code
30213-2721
Phone
(678) 369-3217

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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