Healthcare Provider Details

I. General information

NPI: 1447498142
Provider Name (Legal Business Name): AARON SINCLAIR SMITH D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: DR. A.SINCLAIR SMITH D.C.

II. Dates (important events)

Enumeration Date: 02/03/2009
Last Update Date: 02/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6148 COVINGTON HWY A
LITHONIA GA
30058-8371
US

IV. Provider business mailing address

2721 SAINT AUGUSTINE TRL SE
MARIETTA GA
30067-6264
US

V. Phone/Fax

Practice location:
  • Phone: 770-374-7302
  • Fax:
Mailing address:
  • Phone: 770-374-7302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIRO06733
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberCHIRO06733
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: