Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shevonese Smith

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1275492019

Shevonese Smith is a Student in an Organized Health Care Education/Training Program in Loganville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2026

Practice location Address checks out

4254 Potomac Walk Ct
Loganville, GA 30052-8847
Phone: (404) 932-1056
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (GA)

Record details

NPI number1275492019
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 19, 2026
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 18, 2026
Mailing address4254 Potomac Walk Ct, Loganville, GA 30052-8847

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