| NPI | 1396071270 |
|---|---|
| Doing Business As | SMILES AT STONE MOUNTAIN FESTIVAL |
| Entity Type | Organization |
| Authorized Contact | JIMMIE LEE BLOUNT Owner/ Doctor 770-482-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA DN11497) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2010-07-30 |