MEDICARE: SMARTLIFE MD, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1356214720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMARTLIFE MD, LLC

Provider Business Mailing Address
First Line	:	6065 ROSWELL RD STE 450
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-4011
Country	:	US
Telephone Number	:	678-744-6698
Fax Number	:

Provider Business Practice Location Address
First Line	:	6065 ROSWELL RD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-4011
Country	:	US
Telephone Number	:	678-744-6698
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BLESSING OSA
Credential	:
Telephone Number	:	678-744-6698

Provider Enumeration Date	:	09/24/2025
Last Update Date	:	01/05/2026

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Directions to “SMARTLIFE MD, LLC ” Practice Location

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