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Kirk L Smick
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NPI Number Detailed Information
Provider Information:
Name: | Kirk L Smick |
Gender: | M |
Provider License Number If Given: | OPT000737 |
NPI Information:
NPI: | 1023002540 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 9/12/2005 |
Last Update Date: | 11/12/2008 |
Provider Business Mailing Address:
Address: | 1000 CORPORATE CENTER DRIVE STE 100 Morrow, GA 30260 |
Phone Number: | 7709688888 |
Fax Number: | 7709602473 |
Provider Business Practice Location Address:
Address: | 1000 CORPORATE CENTER DRIVE SUITE 100 Morrow, GA 30260 |
Phone Number: | 7709688888 |
Fax Number: | 7709602473 |
Provider Taxonomy:
Primary: | 152W00000X |
Secondary (if any): | |
State: | GA |