| Angela Smith | |
|
109 John Maddox Suite 200 Rome GA 30161 | |
| (706) 232-6743 | |
| Not Available |
| Full Name | Angela Smith |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 109 John Maddox Suite 200, Rome, Georgia |
| Authorized Official Name and Position | Angela Smith (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7062326743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Smith 109 John Maddox Dr Nw Ste 200 Rome GA 30165-1453 Ph: (706) 232-6743 | Angela Smith 109 John Maddox Suite 200 Rome GA 30161 Ph: (706) 232-6743 |
| NPI Number | 1407259112 |
|---|---|
| Provider Enumeration Date | 10/08/2014 |
| Last Update Date | 10/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407259112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC008021 (Georgia) | Primary |
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