| NPI | 1437109899 |
|---|---|
| Former Legal Business Name | KEVIN L. SMITH, MD PC |
| Entity Type | Organization |
| Authorized Contact | CARMEN L SMITH Manager 770-538-0208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2015-12-11 |