# VITA LIFE MEDICAL LLC

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

## Provider details

- **NPI number:** 1659409860
- **Authorized official:** GREGORY LUKE SMITH MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (678) 387-6498

## Contact information

- **Practice address:** 2870 PEACHTREE RD NE, STE 431, ATLANTA, GA 30305
- **Practice address phone:** (678) 387-6498
- **Mailing address:** 2870 PEACHTREE RD NE, STE 431, ATLANTA, GA 30305
- **Mailing address phone:** (678) 387-6498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 031857 | GA | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 08/22/2020