| NPI | 1043405137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HORATIO SMITH President / Physician 404-223-1349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 48940) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |