GEORGIA HEART AND LUNG ASSOCIATES PC
Radiology at Blvd, Atlanta, GA

License number
Georgia 032056
Category
Radiology
Type
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Owner
Name: DR. MICHAEL VINCENT SMITH MD
Title: PRESIDENT OWNER
Phone: (404) 223-5551
Address
Address
315 Boulevard NE 310, Atlanta, GA 30312
National Provider ID: 1598805707
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GEORGIA HEART AND LUNG ASSOCIATES, PC

315 Blvd NE SUITE 310, Atlanta, GA 30312

Status:
Inactive
Registration:
Sep 1, 1998
Inactive since:
Sep 3, 2012
State ID:
K832728
Business type:
Domestic Professional Corporation
CFO:
Smith V Md (CFO), 315 Blvd NE #13, Atlanta, GA 30312 (Physical)
Agent:
Michael Vincent Smith,320 Pkwy Dr SUITE 222 ATLANTA GA, Atlanta, GA 30312 (Physical)

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