Amielle Lydia Smith, PAC

NPI #1861009375 in Martinez, Georgia

Provider Information

NPI Number
1861009375
Entity Type
Individual
Name
Amielle Lydia Smith, PAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PAC
Enumeration Date
Sep 29, 2020
Last Updated
Jan 7, 2022

Practice Location

Address
4106 COLUMBIA RD STE 103
State
Georgia
ZIP Code
30907-1482
Phone
(706) 863-1440

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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