| NPI | 1013991595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FORREST ANN SMITH President 770-594-1233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 023230) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 43135) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-08-22 |