Provider profile · NPI 1699364182

Accident Injury Md

Family Medicine · Smyrna, GA · NPI 1699364182 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Family Medicine

Enumerated

Jan 11, 2021

License(s)

Addresses on file

PurposeAddressCity/StatePhone
LOCATION505 LEIGHTON WOODS CT Smyrna, GA 30080-5534770-366-9614
MAILING505 LEIGHTON WOODS CT Smyrna, GA 30080-5534770-366-9614

View on NPPES registry ↗

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