MEDICARE: DR. STEPHANIE ANN RYTEL-SMITH D.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CHIR006719	GA

General Provider Information

NPI Number	:	1033258611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHANIE ANN RYTEL-SMITH D.C

Provider Business Mailing Address
First Line	:	4169 ALAYNA LEE CIR
Second Line	:
City	:	MCDONOUGH
State	:	GA
Zip	:	30252-3702
Country	:	US
Telephone Number	:	678-432-3303
Fax Number	:	678-432-3307

Provider Business Practice Location Address
First Line	:	69 OLD JACKSON RD
Second Line	:
City	:	MCDONOUGH
State	:	GA
Zip	:	30252-3095
Country	:	US
Telephone Number	:	678-432-3303
Fax Number	:	678-432-3307

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	01/30/2009

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