Individual
MR. GREG R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
477 WINDSOR ST SW, SUITE 203, ATLANTA, GA 30312-2530
(404) 594-1447
Mailing address
477 WINDSOR ST SW, SUITE 203, ATLANTA, GA 30312-2530
(404) 594-1447
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
2470A2800X
Assistant Health Information Record Technician
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11111111
UNDETERMINED
GA
Enumeration date
07/18/2016
Last updated
07/18/2016
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