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Organization
GEORGIA HEART AND LUNG ASSOCIATES PC
Active
Organization
GEORGIA HEART AND LUNG ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL VINCENT SMITH MD (PRESIDENT OWNER)
(404) 223-5551
Entity
Organization
Contact information
Practice address
315 BOULEVARD NE, 310, ATLANTA, GA 30312-1200
(404) 223-5551
(404) 223-0910
Mailing address
315 BOULEVARD NE, 310, ATLANTA, GA 30312-1200
(404) 223-5551
(404) 223-0910
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
032056
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00400551D
—
GA
01
—
1215939624
INDIVIDUAL NPI NUMBER
GA
Enumeration date
02/07/2007
Last updated
05/01/2009
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