Individual
JOHN HORATIO SMITH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 BOULEVARD NE STE 555, ATLANTA, GA 30312-1266
(404) 223-1349
(404) 223-3640
Mailing address
315 BOULEVARD NE STE 555, ATLANTA, GA 30312-1266
(404) 223-1349
(404) 223-3640
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
048940
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000875223I
—
GA
Enumeration date
06/28/2006
Last updated
11/06/2019
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