Organization
JOSEPH C. SMIDDY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH SMIDDY (M.D. & OFFICE MANAGER)
(404) 228-2648
Entity
Organization
Contact information
Practice address
1700 BRIARCLIFF RD NE, ATLANTA, GA 30306-2106
(404) 228-2648
(404) 228-7556
Mailing address
1700 BRIARCLIFF RD NE, ATLANTA, GA 30306-2106
(404) 228-2648
(404) 228-7556
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
042728
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11BDRMB
MEDICARE PTAN
GA
Enumeration date
10/03/2014
Last updated
09/01/2022
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