Healthcare Provider Details

I. General information

NPI: 1740100239
Provider Name (Legal Business Name): ASHARI DANIELLE SMITH DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 CHURCH ST
DECATUR GA
30030-2517
US

IV. Provider business mailing address

1206 WINSTON DR
DECATUR GA
30032-2365
US

V. Phone/Fax

Practice location:
  • Phone: 404-377-7743
  • Fax:
Mailing address:
  • Phone: 470-420-0214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR066680
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: