Michael Smith, DO
Physical Medicine & Rehabilitation, Pain Medicine in Atlanta, GA. Individual provider (NPI-1).
NPI number1265926257
StatusActive
Last updated in NPPESOct 14, 2024
Details
- NPI
- 1265926257
- Entity type
- Individual (NPI-1)
- Name
- Michael Smith
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 21, 2018
- Certification date
- Oct 14, 2024
- Last updated
- Oct 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | 91408 | GA | Yes |
Practice location
2020 Peachtree Rd NwAtlanta, GA 30309-1426
Phone 404-350-7353
Mailing address
4725 N Federal HwyFort Lauderdale, FL 33308-4603
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