Organization
VITA LIFE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY LUKE SMITH MD (MEDICAL DIRECTOR)
(678) 387-6498
Entity
Organization
Contact information
Practice address
2870 PEACHTREE RD NE, STE 431, ATLANTA, GA 30305
(678) 387-6498
Mailing address
2870 PEACHTREE RD NE, STE 431, ATLANTA, GA 30305
(678) 387-6498
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
031857
GA
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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