Individual provider · Type 1 NPI

Veketa Harris Smith, PA-C

Medical Physician Assistant · Fayetteville, GA

NPI number 1265704860 Active

Practice location

1265 Highway 54 W, Suite 201
Fayetteville, GA 30214-4548

Call (678) 435-3045 Map

Fax (678) 435-3044

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2245 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1265704860

Veketa Harris Smith, PA-C's National Provider Identifier is 1265704860, issued on Jan 30, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fayetteville, GA. The record was last updated on Jan 30, 2012.