Individual
AVITAL LILY OKRENT SMOLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(424) 345-6326
Mailing address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
Taxonomy
Speciality
Code
Description
License number
State
207WX0109X
Neuro-ophthalmology Physician
Primary
92154
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
12/14/2022
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