# ATLANTIC MEDICAL GROUP

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

## Provider details

- **NPI number:** 1770968943
- **Authorized official:** MICHELLE VICTORIA SMITH (OFFICE MANAGER)
- **Authorized official phone:** (330) 456-3487

## Contact information

- **Practice address:** 2223 FULTON RD NW STE 102, CANTON, OH 44709-3554
- **Practice address phone:** (330) 456-3487
- **Practice address fax:** (330) 456-3895
- **Mailing address:** 3501 LESH ST NE, CANTON, OH 44705-4376
- **Mailing address phone:** (330) 456-3487
- **Mailing address fax:** (330) 456-3895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/29/2015
- **Last updated:** 04/17/2025