# CLINICA DE LA SALUD SMYRNA, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clinica de la salud Smyrna
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053885327
- **Authorized official:** DR. HENRY VELEZ JR. MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (404) 406-7861

## Contact information

- **Practice address:** 1815 S COBB DR SE STE 101, MARIETTA, GA 30060-4958
- **Practice address phone:** (678) 888-0173
- **Practice address fax:** (678) 888-0177
- **Mailing address:** 1815 S COBB DR SE STE 101, MARIETTA, GA 30060-4958
- **Mailing address phone:** (678) 888-0173
- **Mailing address fax:** (678) 888-0177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2019
- **Last updated:** 01/19/2019