Organization
SMART PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAVITA KOTTE M.D. (CHIEF MEDICAL OFFICER)
(404) 808-7283
Entity
Organization
Contact information
Practice address
540 E CROSSVILLE RD, SUITE 211, ROSWELL, GA 30075-7661
(770) 510-1850
Mailing address
4400 PEACHTREE RD NE, ATLANTA, GA 30319-2729
(404) 808-7283
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
66516
GA
Other
Enumeration date
01/10/2014
Last updated
01/21/2014
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