Organization
SMILES AT STONEREST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY BURKE (OFFICE MANAGER)
(770) 482-7800
Entity
Organization
Contact information
Practice address
2929 TURNER HILL RD STE 1410, LITHONIA, GA 30038-2524
(770) 482-7800
Mailing address
2929 TURNER HILL RD STE 1410, LITHONIA, GA 30038-2524
(770) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
11497
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00749504A
—
GA
Enumeration date
02/15/2008
Last updated
02/15/2008
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