Organization
ESOPHAGEAL INSTITUTE OF ATLANTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C DANIEL SMITH M.D. (PRESIDENT/OWNER)
(404) 323-4615
Entity
Organization
Contact information
Practice address
2061 PEACHTREE RD NE, SUITE 300, ATLANTA, GA 30309-1447
(404) 445-7787
Mailing address
2870 PEACHTREE RD NW, NO. 294, ATLANTA, GA 30305-2918
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
042730
GA
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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