| NPI | 1699178681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH SMIDDY M.D. & Office Manager 404-228-2648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 042728) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2022-09-01 |