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General NPI Number Information
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NPI Number | 1225324635
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Entity Type | Individual
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Provider Name | MONICA MONE' SMITH DPT
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Gender | Female
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Dates
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Enumeration Date | 06/23/2011
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Last Update Date | 08/04/2014
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Provider Practice Location Address
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Address Line | 4877 BILL GARDNER PKWY
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City | LOCUST GROVE
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State | GA
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Zip | 30248-3644
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Country | US
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Telephone | 404-367-2097
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Fax | 678-304-1396
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Provider Business Mailing Address
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Address Line | 4877 BILL GARDNER PKWY
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City | LOCUST GROVE
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State | GA
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Zip | 30248-3644
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Country | US
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Telephone | 404-367-2097
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Fax | 678-304-1396
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT010385
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License Number State | GA
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