Organization
GEORGIA HEART AND LUNG ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL VINCENT SMITH MD (PRESIDENT OWNER)
(404) 223-5551
Entity
Organization
Contact information
Practice address
315 BOULEVARD NE, 310, ATLANTA, GA 30312-1200
(404) 223-5551
(404) 223-0910
Mailing address
315 BOULEVARD NE, 310, ATLANTA, GA 30312-1200
(404) 223-5551
(404) 223-0910
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
032056
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00400551D
—
GA
01
—
1215939624
INDIVIDUAL NPI NUMBER
GA
Enumeration date
02/07/2007
Last updated
05/01/2009
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