| NPI | 1710731575 |
|---|---|
| Doing Business As | DR. SMITH'S PROGRAM |
| Entity Type | Organization |
| Authorized Contact | ALICIA FRAGOMENI CFO 770-438-8446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-04-16 |