Individual
KEVIN VAN SMAALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-2054
Mailing address
536 RIMROCK TRL, STONE MOUNTAIN, GA 30083-4555
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
94944
GA
Other
Enumeration date
04/04/2017
Last updated
08/28/2023
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