Organization
FAMILY & OCCUPATIONAL MEDICINE OF CONYERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY SCOTT SMITH M.D. (PRESIDENT)
(404) 358-3427
Entity
Organization
Contact information
Practice address
1907 CRESCENT MOON DR NE, CONYERS, GA 30012-2893
(404) 358-3427
Mailing address
1907 CRESCENT MOON DR NE, CONYERS, GA 30012-2893
(404) 358-3427
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/23/2012
Last updated
02/08/2021
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