Individual
MARK H SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
150 BOBBY DODD WAY NW, ATLANTA, GA 30332-2500
(404) 385-4059
Mailing address
150 BOBBY DODD WAY NW, ATLANTA, GA 30332-2500
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002412
GA
Other
Enumeration date
01/16/2021
Last updated
01/16/2021
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