Organization
FAMILY HEALTHCARE OF SMYRNA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADHU T. VISHWANATH M.D. (PRESIDENT)
(770) 438-2942
Entity
Organization
Contact information
Practice address
3969 S COBB DR SE, SUITE 201, SMYRNA, GA 30080-6358
(770) 438-2942
(770) 438-6560
Mailing address
300 VILLAGE GREEN CIRCLE, SUITE 200, SMYRNA, GA 30080
(770) 384-0284
(404) 446-1957
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
056499
GA
208000000X
Pediatrics Physician
056499
GA
Other
Enumeration date
06/19/2007
Last updated
11/12/2010
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