Healthcare Provider Details

I. General information

NPI: 1841107570
Provider Name (Legal Business Name): DR. MUNIR OLANREWAJU SMITH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 BUCKHEAD AVE NE
ATLANTA GA
30305-3063
US

IV. Provider business mailing address

300 BUCKHEAD AVE NE
ATLANTA GA
30305-3063
US

V. Phone/Fax

Practice location:
  • Phone: 404-400-2800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN-NP273249
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: