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Organization
SMITH MEDICAL GROUP LLC
Active
Organization
SMITH MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY SMITH (EXECUTIVE DIRECTOR)
(678) 252-9502
Entity
Organization
Contact information
Practice address
3400 CHAPEL HILL RD STE 105, DOUGLASVILLE, GA 30135-1739
(678) 741-5319
Mailing address
3400 CHAPEL HILL RD STE 105, DOUGLASVILLE, GA 30135-1739
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
05/24/2025
Last updated
09/11/2025
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