# SMOKERISE FAMILY MEDICAL ASSOC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326340829
- **Authorized official:** MR. MICHAEL LESLEY BARON D.O. (FAMILY PHYSICIAN/PRESIDENT)
- **Authorized official phone:** (770) 469-1711

## Contact information

- **Practice address:** 1505 LILBURN STONE MOUNTAIN RD, STE 100, STONE MOUNTAIN, GA 30087-1857
- **Practice address phone:** (770) 469-1711
- **Practice address fax:** (770) 469-1837
- **Mailing address:** 1505 LILBURN STONE MOUNTAIN RD, STE 100, STONE MOUNTAIN, GA 30087-1857
- **Mailing address phone:** (770) 469-1711
- **Mailing address fax:** (770) 469-1837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0033273 | GA | Yes |

## Other

- **Enumeration date:** 12/03/2010
- **Last updated:** 12/03/2010