Individual
MICHAEL WILLIAM SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2434 VIVIAN CIR, DECATUR, GA 30030-1592
(404) 386-4985
Mailing address
PO BOX 11566, ATLANTA, GA 30355-1566
(404) 386-4985
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
040791
GA
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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