IndividualActive
Kimbyatta Smith
NPI 1104614981 · Early Intervention Provider Agency · Fairburn, GA
Provider details
- NPI number
- 1104614981
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
591 Mary Erna Dr
Fairburn, GA 30213-2721
Phone: (678) 369-3217
Approximate (ZIP-level) locationGet directions
Mailing address
591 Mary Erna Dr
Fairburn, GA 30213-2721
Registry dates
- Enumerated
- 2025-04-30
- Last updated
- 2025-04-30
- Certified
- 2025-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.