Individual provider · Type 1 NPI

Kaitlyn Smith, PA-C

Medical Physician Assistant · Conyers, GA

NPI number 1245798032 Active

Practice location

343 Salem Gate Dr SE Ste 100
Conyers, GA 30013-1783

Call (770) 285-3533 Map

Fax (770) 502-6052

Other practice locations

  • 1825 GA-34, Newnan, GA 30265 · (770) 502-2121
  • 1364 Wellbrook Cir NE, Conyers, GA 30012-3872 · (770) 285-3533

Specialties and licenses

TaxonomyCodeLicense
Urgent Care Clinic/Center 261QU0200X9190 (GA)
Medical Physician Assistant Primary 363AM0700X9190 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1245798032

Kaitlyn Smith, PA-C's National Provider Identifier is 1245798032, issued on Mar 11, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Conyers, GA. The record was last updated on Jul 28, 2020.