Smith, Amanda Gail
Smith, Amanda Gail is an individual health care provider with primary practice located at 230 Riverstone Pkwy Ste C , Canton GA 30114-6414. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Smith, Amanda Gail can be contacted via phone (470) 221-2256.Contact Information
Primary practice address
230 Riverstone Pkwy Ste C
Canton GA 30114-6414
Phone: (470) 221-2256
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 3610-R | Georgia |
Profile Details
| NPI number | 1386363026 |
|---|---|
| LBN Legal business name | Smith, Amanda Gail |
| Credentials | CAC II |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2022 |
| Last updated | Oct 3rd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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