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General NPI Number Information
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NPI Number | 1467638098
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Entity Type | Organization
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Legal Business Name | ATLANTA ARTHRITIS CENTER, P.C.
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 01/12/2012
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Provider Practice Location Address
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Address Line | 1305 HEMBREE RD. SUITE 101
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City | ROSWELL
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State | GA
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Zip | 30076-3810
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Country | US
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Telephone | 678-867-0000
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Fax | 678-867-0003
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Provider Business Mailing Address
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Address Line | 1305 HEMBREE RD. SUITE 101
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City | ROSWELL
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State | GA
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Zip | 30076-3810
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Country | US
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Telephone | 678-867-0000
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Fax | 678-867-0003
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL LANCE SMITHERMAN
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Credential | M.D.
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Telephone | 678-867-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 045973
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License Number State | GA
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