Joseph C. Smiddy MD PC
Clinic/Center, Primary Care in Atlanta, GA. Organization (NPI-2).
NPI number1699178681
StatusActive
Last updated in NPPESSep 1, 2022
Details
- NPI
- 1699178681
- Entity type
- Organization (NPI-2)
- Legal business name
- Joseph C. Smiddy MD PC
- Organization subpart
- No
- Enumeration date
- Oct 3, 2014
- Certification date
- Sep 1, 2022
- Last updated
- Sep 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 042728 | GA | Yes |
Practice location
1700 Briarcliff Rd NeAtlanta, GA 30306-2106
Phone 404-228-2648 · Fax 404-228-7556
Mailing address
1700 Briarcliff Rd NeAtlanta, GA 30306-2106
Phone 404-228-2648 · Fax 404-228-7556
Authorized official
Joseph Smiddy
M.D. & Office Manager
4042282648
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