Individual
PAUL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1010
(404) 778-0480
Mailing address
195 13TH ST NE UNIT 1504, ATLANTA, GA 30309-4817
(313) 622-4931
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
85123
GA
2085R0202X
Diagnostic Radiology Physician
Primary
85123
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2015
Last updated
12/14/2020
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