Individual provider · Type 1 NPI
Shevonese Smith
Student in an Organized Health Care Education/Training Program · Loganville, GA
NPI number
1275492019
Active
Practice location
4254 Potomac Walk Ct
Loganville, GA 30052-8847
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1275492019
Shevonese Smith's National Provider Identifier is 1275492019, issued on Jan 19, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Loganville, GA. The record was last updated on Jan 19, 2026.