Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
Apr 23, 2021
License(s)
101359 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 562 CONCORD RD SE | Smyrna, GA 30082-2608 | 770-384-9900 |
| MAILING | 562 CONCORD RD SE | Smyrna, GA 30082-2608 | 770-384-9900 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.