EXHIBIT 3.87

                           AMENDED AND RESTATED BYLAWS

                                       OF

                             J. DAVID SMITH, M.D. INC
                             (A GEORGIA CORPORATION)

                                ARTICLE I OFFICES

     SECTION 1. PRINCIPAL OFFICE. The principal office for the transaction of
the business of the Corporation shall be located at such place as may be fixed
from time to time by the Board of Directors.

     SECTION 2. OTHER OFFICES. Branch offices and places of business may be
established at any time by the Board of Directors at any place or places where
the Corporation is qualified to do business, whether within or without the State
of Georgia.

                       ARTICLE II. SHAREHOLDERS' MEETINGS

     SECTION 1. PLACE OF MEETINGS. Any meeting of the Shareholders of the
Corporation, whether an annual meeting or a special meeting, may be held either
at the principal office of the Corporation or at any place in the United States
within or without the State of Georgia.

     SECTION 2. ANNUAL SHAREHOLDER MEETING. No annual meeting of Shareholders is
required unless one (1) or more of the Shareholders delivers written notice to
the Corporation requesting a meeting pursuant to Section 14-2-924 of the
Official Code of Georgia. If a Shareholder desires that an annual meeting be
held, the annual meeting shall be held at such time and place and on such date
as the Board of Directors shall determine from time to time and as shall be
specified in the notice of the meeting. However, no such meeting shall be held
unless one (1) or more Shareholders delivers written notice to the Corporation
requesting a meeting at least thirty (30) days before the meeting date as set in
this paragraph.

     SECTION 3. SPECIAL MEETINGS. A special meeting of the Shareholders, for any
purpose or purposes whatsoever, may be called at any time by the Chairman of the
Board, the President, the Vice-President, a majority of the Board of Directors,
or one (1) or more Shareholders holding an aggregate of not less than one-third
(1/3) of the voting power of the Corporation. Such a call for a special meeting
must state the purpose of the meeting.

     SECTION 4. NOTICE OF MEETINGS. Unless waived, written notice stating the
place, day, and hour of each meeting, and, in the case of a special meeting, the
purpose or purposes for which the meeting is called, shall be delivered to each
Shareholder of record entitled to vote not less than ten (10) days (or not less
than any such other minimum period of days as may be prescribed by the



Georgia Business Corporation Code) nor more than fifty (50) days before the date
of the meeting either personally or by first class mail by, or at the direction
of, the Directors, the President, the Secretary, or the Officer or persons
calling the meeting. If mailed, such notice shall be deemed to be delivered when
deposited in the United States mail with first class postage thereon prepaid,
addressed to the Shareholder at such Shareholder's address as it appears on the
stock transfer books of the Corporation. .The notice of any annual of special
meeting shall also include, or be accompanied by, any additional statements,
information, or documents prescribed by the Georgia Business Corporation Code.
When a meeting is adjourned to another time or place, it shall not be necessary
to give any notice of the adjourned meeting if the time and place to which the
meeting is adjourned are announced at the meeting at which the adjournment is
taken, and at the adjourned meeting any business may be transacted that might
have been transacted on the original date of the meeting. If, however, after the
adjournment the Board fixes a new record date for the adjourned meeting, a
notice of the adjourned meeting shall be given to each Shareholder on the new
record date.

     SECTION 5 WAIVER OF NOTICE. Notice of any annual or special meeting may be
waived by any Shareholder, either before or after the meeting. The attendance of
a Shareholder at a meeting, either in person or by proxy, shall of itself
constitute waiver of notice and waiver of any and all objections to the place or
time of the meeting, or to the manner in which it has been called or convened,
except when a Shareholder attends solely for the purpose of stating, at the
beginning of the meeting, an objection or objections to the transaction of
business at such meeting.

     SECTION 6 QUORUM, VOTING, AND PROXY. Shareholders representing a majority
of common stock issued and outstanding shall constitute a quorum at a
Shareholders' meeting. If a quorum is present, the affirmative vote of the
majority of the shares represented at the meeting and entitled to vote on the
subject matter shall be the act of the Shareholders, unless the vote of a
greater number of voting by classes or series is required by the Articles of
Incorporation or by the Georgia Business Corporation Code. Each common
Shareholder shall be entitled to one (1) vote for each share of common stock
owned. Any Shareholder who is entitled to attend a Shareholders' meeting, to
vote thereat, or to execute consents, waivers, or releases, may be represented
at such meeting or vote thereat, and execute consents, waivers, and releases,
and exercise any of such Shareholder's other rights, by one (1) or more agents,
who may be either an individual or individuals or any domestic or foreign
corporation, authorized by a written proxy executed by such person or by such
person's attorney-in-fact. A telegram or cablegram transmitted by a Shareholder
shall be deemed a written proxy. No proxy shall be valid after the expiration of
eleven (11) months from the date thereof unless otherwise provided in the proxy.
Every proxy shall be revocable at the pleasure of the person executing such
proxy, except as otherwise provided by the Georgia Business Corporation Code, If
a proxy expressly provides, any proxy holder may appoint in writing a substitute
to act in such proxy holder's place.

     SECTION 7 NO MEETING NECESSARY WHEN Any action required by law or permitted
to be taken at any Shareholders' meeting may be taken without a meeting if
written consent, setting forth the action so taken, shall be signed by all
Shareholders entitled to vote with respect to the

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subject matter thereof. Such consent shall have the same force and effect as a
unanimous vote of the Shareholders and shall be filed with the Secretary and
recorded in the Minute Book of the Corporation.

                         ARTICLE III. BOARD OF DIRECTORS

     SECTION 1. FUNCTIONS AND DEFINITIONS. The business and affairs of the
Corporation shall be managed by a governing board, which is herein referred to
as the "Board of Directors" or "Directors", notwithstanding that only one (1)
Director legally constitutes the Board. The use of the phrase "entire Board" or
"full Board" in these Bylaws refers to the total number of Directors which the
Corporation would have if there were no vacancies.

     SECTION 2. QUALIFICATIONS AND NUMBER. Each Director shall be at least
twenty-one (21) years of age. A Director need not be a Shareholder, a citizen of
the United States, or a resident of the State of Georgia. The number of
Directors constituting the entire board shall be not less than one (1) nor more
than seven (7) members. Subject to the foregoing limitation, the precise number
of Directors is to be fixed by a resolution of the Shareholders from time to
time. No decrease in the number of Directors shall have the effect of shortening
the term of any incumbent Director.

     SECTION 3. ELECTION AND TENURE. Each Director shall hold office until the
first annual meeting of Shareholders and until such Director's successor is
elected and qualified, or until such Director's earlier resignation, removal
from office, or death. At the first annual meeting of the Shareholders and at
each annual meeting thereafter, Directors shall be elected, and each such
Director shall hold office until the next annual meeting of Shareholders and
until such Director's successor is elected and qualified, or until such
Director's earlier resignation, removal from office, or death. In such
elections, the persons having a plurality of votes shall be elected.

     SECTION 4. POWERS. The Board of Directors shall have authority to manage
the affairs and exercise the powers, privileges, and franchises of the
Corporation as they may deem expedient for the interests of the Corporation,
subject to the terms of the Articles of Incorporation, these Bylaws, any valid
Shareholders' agreement, and such policies and directions as may be prescribed
from time to time by the Shareholders.

     SECTION 5. MEETINGS. The annual meeting of the Board of Directors shall be
held without notice immediately following the annual meeting of the
Shareholders, on the same date and at the same place as such annual meeting of
the Shareholders; provided, however, that no annual meeting of the Board of
Directors is required if the Shareholders do not hold an annual meeting. The
Board by resolution may provide for regular meetings, which may be held without
notice as and when scheduled in such resolution. Special meetings of the Board
may be called at any time by the Chairman of the Board, the President, or by any
Director. The Board of Directors, or any committee designated by the Board of
Directors, may participate in a meeting of such Board or committee by means of
conference telephone or similar communications equipment in which all persons

                                        3


participating in the meeting can hear each other, and participation in such a
meeting pursuant to this Section 5 shall constitute presence in person at such
meeting.

     SECTION 6. NOTICE AND WAIVER: QUORUM. Notice of any special meeting
of the Board of Directors shall be given to each Director personally or by mail,
telegram, or cablegram addressed to such Director at such Director's last known
address, at least two (2) days prior to the meeting. Such notice may be waived,
either before or after the meeting. The attendance of a Director at any special
meeting shall of itself constitute a waiver of notice of such meeting and of any
and all objections to the place or time of the meeting, or to the manner in
which it has been called or convened, except where a Director states, at the
beginning of the meeting, any such objection or objections to the transaction of
business. A majority of the Board of Directors shall constitute a quorum at any
Directors' meeting.

     SECTION 7. NO MEETING NECESSARY, WHEN. Any action required by law or
permitted to be taken at any meeting of the Board of Directors may be taken
without a meeting if written consent, setting forth the action so taken, shall
be signed by all the Directors. Such consent shall have the same force and
effect as a unanimous vote of the Board of Directors and shall be filed with the
Secretary and recorded in the Minute Book of the Corporation.

     SECTION 8. VOTING. At all meetings of the Board of Directors, each Director
shall; have one (1) vote and, except as otherwise provided herein or provided by
law, all questions shall be determined by a majority vote of the Directors
present.

     SECTION 9. REMOVAL. Any one (l) or more Directors or the entire Board of
Directors may be removed from office, with or without cause, by the affirmative
vote of the holders of a majority of the shares entitled to vote at any
Shareholders' meeting with respect to which notice of such purpose has been
given.

     SECTION 10. VACANCIES. Any vacancy occurring in the Board of Directors
shall be filled by the affirmative vote of a majority of the remaining
Directors, even though less than a quorum, or by the sole remaining Director, as
the case may be, or by the Shareholders if the vacancy is not so filled or if no
Director remains, and when so filled such appointee shall serve for the
unexpired term of the Director to whose place such appointee succeeds.

     SECTION 11. DIVIDENDS. The Board of Directors may declare dividends payable
in cash or other property out of the unreserved and unrestricted net earnings of
the current fiscal year, computed to the date of declaration of the dividend, or
the preceding fiscal year, or out of the unreserved and unrestricted earned
surplus of the Corporation, or out of the unreserved and unrestricted capital
surplus if so authorized by the Articles of Incorporation, as they may deem
expedient.

     SECTION 12. COMMITTEES. In the discretion of the Board of Directors, such
Board from time to time may elect or appoint, from its own members, an Executive
Committee or such other

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committee or committees as such Board may see fit to establish. Each such
committee shall consist of two (2) or more Directors, and each shall have and
may exercise such authority and perform such functions as the Board by
resolution may prescribe within the limitations imposed by law.

     SECTION 13. OFFICERS, SALARIES, AND BONDS. The Board of Directors shall
elect all Officers of the Corporation and fix their compensation, unless
pursuant to a resolution of the Board the authority to fix compensation is
delegated to the President. The fact that any Officer is a Director shall not
preclude such individual from receiving a salary or from voting upon the
resolution providing the same. The Board of Directors may or may not, in their
discretion, require bonds from either or all of the Officers and employees of
the Corporation for the faithful performance of their duties and good conduct
while in office.

     SECTION 14. COMPENSATION OF DIRECTORS. Directors, as such, shall be
entitled to receive such fees and expenses, if any, for attendance at each
regular or special meeting of the Board and any adjournments thereof as may be
fixed from time to time by resolution of the Board, and such fees and expenses
shall be payable even though an adjournment be had because of the absence of a
quorum; provided, however, that nothing herein contained shall be construed to
preclude any Director from serving the Corporation in any other capacity and
receiving compensation therefor. Members of either standing or special
committees may be allowed such compensation as may be provided from time to time
by resolution of the Board for attending committee meetings.

                              ARTICLE IV. OFFICERS

     SECTION 1. SELECTION. The Board of Directors at each annual meeting shall
elect or appoint a President and a Secretary, both to serve for the ensuing year
and until such Officer's successor is elected and qualified, or until such
Officer's earlier resignation, removal from office, or death. The Board of
Directors, at such meeting, may or may not, in the discretion of the Board,
elect a Chairman of the Board and/or one (I) or more Vice Presidents, a
Treasurer, and also may elect or appoint one (1) or more Assistant Vice
Presidents and/or one (1) or more Assistant Secretaries and/or one or more
Assistant Treasurers. When more than one Vice President is elected, they may, in
the discretion of the Board, be designated Executive Vice President, First Vice
President, Second Vice President, etc., according to seniority or rank, and any
person may hold two (2) or more offices.

     SECTION 2. REMOVAL, VACANCIES. Any Officers of the Corporation may be
removed from office at any time by the Board of Directors, with or without
cause. Any vacancy occurring in any office of the Corporation may be filled by
the Board of Directors.

     SECTION 3. CHAIRMAN OF THE BOARD. The Chairman of the Board of Directors,
when and if elected, shall, whenever present, preside at all meetings of the
Board of Directors and at all meetings of the Shareholders, The Chairman of the
Board of Directors shall have all the powers of the President in the event of
the President's absence or inability to act, or in the event of a vacancy in the
office of the President. The Chairman of the Board of Directors shall confer
with the President

                                        5


on matters of general policy affecting the business of the Corporation and shall
have, in such Chairman's discretion, power and authority to generally supervise
all the affairs of the Corporation and the acts and conduct of all the Officers
of the Corporation, and shall have such other duties as may be conferred upon
the Chairman of the Board by the Board of Directors.

     SECTION 4. PRESIDENT If there be no Chairman of the Board elected, or in
the Chairman's absence, the President shall preside at all meetings of the Board
of Directors and at all meetings of the Shareholders. The immediate supervision
of the affairs of the Corporation shall be vested in the President, It shall be
the President's duty to attend constantly to the business of the Corporation and
to maintain strict supervision over all of its affairs and interests. The
President shall keep the Board of Directors fully advised of the affairs and
condition of the Corporation, and shall manage and operate the business of the
Corporation pursuant to such policies as maybe prescribed from time to time by
the Board of Directors. The President shall, subject to approval of the Board,
hire and fix the compensation of all employees and agents of the Corporation
other than Officers, and any person thus hired shall be removable at the
President's pleasure.

     SECTION 5. VICE PRESIDENT. Any Vice President of the Corporation may be
designated by the Board of Directors to act for and in the place of the
President in the event of sickness, disability, or absence of the President or
the failure of the President to act for any reason, and when so designated, such
Vice President shall exercise all the powers of the President in accordance with
such designation. The Vice Presidents shall have such duties as may be required
of or assigned to them by the Board of Directors, the Chairman of the Board, or
the President.

     SECTION 6. SECRETARY. It shall be the duty of the Secretary to keep a
record of the proceedings of all meetings of the Shareholders and Board of
Directors; to keep the stock records of the Corporation; to notify the
Shareholders and Directors of meetings as provided by these Bylaws; and to
perform such other duties as may be prescribed by the Chairman of the Board, the
President, or the Board of Directors, Any Assistant Secretary, if elected, shall
perform the duties of the Secretary during the absence or disability of the
Secretary and shall perform such other duties as may be prescribed by the
Chairman of the Board, the President, the Secretary, or the Board of Directors.

     SECTION 7. TREASURER. The Treasurer shall keep, or cause to be kept, the
financial books and records of the Corporation, and shall faithfully account for
its funds. The Treasurer shall make such reports as may be necessary to keep the
Chairman of the Board, the President, and the Board of Directors fully informed
at all times as to the financial condition of the Corporation, and shall perform
such other duties as may be prescribed by the Chairman of the Board, the
President, or the Board of Directors. Any Assistant Treasurer, if elected, shall
perform the duties of the Treasurer during the absence or disability of the
Treasurer, and shall perform such other duties as may be prescribed by the
Chairman of the Board, the President, the Treasurer, or the Board of Directors.

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                           ARTICLE V. CONTRACTS. ETC.

     SECTION 1. CONTRACTS, DEEDS, AND LOANS. All contracts, deeds, mortgages,
pledges, promissory notes, transfers, and other written instruments binding upon
the Corporation shall be executed on behalf of the Corporation by the Chairman
of the Board, if elected, the President, any Vice President, or by such other
Officers or agents as the Board of Directors may designate from time to time.
Any such instrument required to be given under the seal of the Corporation may
be attested by the Secretary or Assistant Secretary of the Corporation,

     SECTION 2. PROXIES. The Chairman of the Board, if elected, or the President
or any Vice President shall have full power and authority, on behalf of the
Corporation, to attend and to act and to vote at any meetings of the
Shareholders, bond holders, or other security holders of any corporation, trust,
or association in which this Corporation may hold securities, and at any such
meeting shall possess and may exercise any and all of the rights and powers
incident to the ownership of such securities and which as owner thereof the
Corporation might have possessed and exercised if present, including the power
and authority to delegate such power and authority to a proxy selected by such
Officer. The Board of Directors may, by resolution, from time to time, confer
like powers upon any other such person or persons.

                          ARTICLE VI. CHECKS AND DRAFTS

     Checks and drafts of the Corporation shall be signed by such Officer or
Officers or such other employees or persons as the Board of Directors may from
time to time designate.

                               ARTICLE VII. STOCK

     SECTION 1. CERTIFICATES OF STOCK. The certificates for shares of capital
stock of the Corporation shall be in such form as shall be determined by the
Board of Directors. They shall be numbered consecutively and entered into the
stock book of the Corporation as they are issued. Each certificate shall state
on its face the fact that the Corporation is a Georgia corporation, the name of
the person to whom the shares are issued, the number and class of shares (and
series, if any) represented by the certificate and their par value, or a
statement that they are without par value. In addition, when and if more than
one (1) class of shares shall be outstanding, all share certificates of whatever
class shall state that the Corporation will furnish to any Shareholder upon
request and without charge a full statement of the designations, relative
rights, preferences, and limitations of the shares of each class authorized to
be issued by the Corporation.

     SECTION 2. SIGNATURE; TRANSFER AGENT: REGISTRAR. Share certificates shall
be signed by the President or any Vice President, and by the Treasurer or an
Assistant Treasurer, or the Secretary or an Assistant Secretary of the
Corporation, and shall bear the seal of the Corporation or a facsimile thereof.
The Board of Directors may from time to time appoint transfer agents and
registrars for the shares of capital stock of the Corporation or any class
thereof, and when any share certificate is countersigned by a transfer agent or
registered by a registrar, the signature of any

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Officer of the Corporation appearing thereon may be a facsimile signature. In
case any Officer who signed, or whose facsimile signature was placed upon, any
such certificate shall have died or ceased to be such Officer before such
certificate is issued, it may nevertheless be issued with the same effect as if
such Officer continued to be such Officer on the date of issue.

     SECTION 3. STOCK BOOK. The Corporation shall keep at its principal office,
or at the office of its transfer agent, wherever located, with a copy at the
principal office of the Corporation, a book, to be known as the stock book of
the Corporation, containing in alphabetical order the name of each Shareholder
of record, together with such Shareholder's address, the number of shares of
each kind, class, or series of stock held by such Shareholder, and such
Shareholder's Social Security number. The stock book shall be maintained in
current condition. The stock book, including the share register, Or the
duplicate copy thereof maintained at the principal office of the Corporation,
shall be avail able for inspection and copying by any Shareholder at any meeting
of the Shareholders upon request, or at other times upon the written request of
any Shareholder or holder of a voting trust certificate. The stock book may be
inspected and copied either by a Shareholder or a holder of a voting trust
certificate in person, or by such person's duly authorized attorney or agent.
The information contained in the stock book and share register may be stored on
punch cards, magnetic tape, or any other approved information storage devices
related to electronic data processing equipment; provided that any such method,
device, or system employed shall first be approved by the Board of Directors,
and provided further that the same is capable of reproducing all information
contained therein, in legible and understandable form, for inspection by
Shareholders or for any other proper corporate purpose.

     SECTION 4. TRANSFER OF STOCK: REGISTRATION OF TRANSFER. The stock of the
Corporation shall be transferred only by surrender of the certificate and
transfer upon the stock book of the Corporation. Upon surrender to the
Corporation, or to any transfer agent or registrar for the class of shares
represented by the certificate surrendered, of a certificate properly endorsed
for transfer, accompanied by such assurances as the Corporation, or such
transfer agent or registrar, may require as to the genuineness and effectiveness
of each necessary endorsement and satisfactory evidence of compliance with all
applicable laws relating to securities transfers and the collection of taxes, it
shall be the duty of the Corporation, or such transfer agent or registrar, to
issue a new certificate, cancel the old certificate, and record the transactions
upon the stock book of the Corporation.

     SECTION 5. REGISTERED SHAREHOLDERS. Except as otherwise required by law,
the Corporation shall be entitled to treat the person registered on its stock
book as the owner of shares of capital stock of the Corporation and as the
person exclusively entitled to receive notification, dividends, or other
distributions, to vote, and otherwise to exercise all the rights and powers of
ownership and shall not be bound to recognize any adverse claim.

     SECTION 6. RECORD DATE. For the purpose of determining Shareholders
entitled to notice of or to vote at any meeting of Shareholders or any
adjournment thereof, or to express consent to or dissent from any proposal
without a meeting, or for the purpose of determining Shareholders entitled

                                        8


to receive payment of any dividend or the allotment of any rights, or for the
purpose of any other action affecting the interests of Shareholders, the Board
of Directors may fix, in advance, a record date. Such date shall not be more
than fifty (50) nor less than ten (10) days before the date of any such meeting
nor more than fifty (50) days prior to any other action. In each case, except as
otherwise provided by law, only such persons as shall be Shareholders of record
on the date so fixed shall be entitled to notice of and to vote at such meeting
and any adjournment thereof, to express such consent or dissent, or to receive
payment of such dividend or such allotment of rights, or otherwise be recognized
as Shareholders for any other related purpose, notwithstanding any registration
of a transfer of shares on the stock book of the Corporation after any such
record date so fixed.

     SECTION 7. LOST CERTIFICATES. When a person to whom a certificate of stock
has been issued alleges it to have been lost, destroyed, or wrongfully taken,
and if the Corporation, transfer agent, or registrar is not on notice that such
certificate has been acquired by a bona fide purchaser, a new certificate may be
issued upon such owner's compliance with all of the following conditions: (a)
Such owner shall file with the Secretary of the Corporation, and the transfer
agent or the registrar, such owner's request for the issuance of a new
certificate, with an affidavit setting forth the time, place, and circumstances
of the loss; (b) Such owner shall also file with the Secretary, and the transfer
agent or the registrar, a bond with good and sufficient security acceptable to
the Corporation and the transfer agent or the registrar, conditioned to
indemnify and save harmless the Corporation and the transfer agent or the
registrar from any and all damage, liability, and expense of every nature
whatsoever resulting from the Corporation's or the transfer agent's or the
registrar's issuing a new certificate in place of the one alleged to have been
lost; and (c) Such owner shall comply with such other reasonable requirements as
the Chairman of the Board, the President, or the Board of Directors of the
Corporation, and the transfer agent or the registrar shall deem appropriate
under the circumstances.

     SECTION 8. REPLACEMENT OF MUTILATED CERTIFICATES. A new certificate may be
issued in lieu of any certificate previously issued that may be defaced or
mutilated upon surrender for cancellation of a part of the old certificate
sufficient in the opinion of the Secretary and the transfer agent or the
registrar to duly identify the defaced or mutilated certificate and to protect
the Corporation and the transfer agent or the registrar against loss or
liability. Where sufficient identification is lacking, a new certificate may be
issued upon compliance with all of the conditions set forth in Section 7 of this
Article VII.

                          ARTICLE VIII. INDEMNIFICATION

     SECTION 1. AUTHORITY TO INDEMNIFY.

     (a) Except as provided in subsections (b) and (c) of this Section 1, the
Corporation shall indemnify an individual made a party to a proceeding because
such individual is or was a Director against liability incurred in the
proceeding, if such Director acted in a manner such Director believed

                                        9


in good faith to be in or not opposed to the best interests of the Corporation
and, in the case of any criminal proceeding, such Director had no reasonable
cause to believe the conduct was unlawful.

     (b) The Corporation may not indemnify a Director under this Section 1:

          (1) In connection with a proceeding by or in the right of the
     Corporation in which the Director was adjudged liable to the Corporation;
     or

          (2) In connection with any other proceeding in which the Director was
     adjudged liable on the basis that personal benefit was improperly received
     by the Director.

     (c) Indemnification permitted under this Section 1 in connection with a
proceeding by or in the right of the Corporation is limited to reasonable
expenses incurred in connection with the proceeding.

     SECTION 2. MANDATORY INDEMNIFICATION. Unless otherwise provided in the
Articles of Incorporation, to the extent that a Director has been successful, on
the merits or otherwise, in the defense of any proceeding to which the Director
was a party, or in defense of any claim, issue, or matter therein, because that
individual is or was a Director of the Corporation, the Corporation shall
indemnify the Director against reasonable expenses incurred by the Director in
connection therewith.

     SECTION 3. ADVANCE FOR EXPENSES.

     (a) The Corporation shall pay for or reimburse the reasonable expenses
incurred by a Director who is a party to a proceeding in advance of final
disposition of the proceeding if:

          (1) The Director furnishes the Corporation a written affirmation of
     such Director's good faith belief that such Director has met the standard
     of conduct set forth in subsection (a) of Section 1 of these Bylaws; and

          (2) The Director furnishes the Corporation a written undertaking,
     executed personally or on the Director's behalf, to repay any advances if
     it is ultimately determined that the Director is not entitled to
     indemnification under Section 1.

     (b) The undertaking required by paragraph (2) of subsection (a) of this
Section 3 must be an unlimited general obligation of the Director, but need not
be secured and may be accepted without reference to financial ability to make
repayment.

     SECTION 4. DETERMINATION AND AUTHORIZATION OF INDEMNIFICATION.

     (a) The Corporation may not indemnify a Director under Section 1 of these
Bylaws unless authorized thereunder and a determination has been made in the
specific case that indemnification

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of the Director is required in the circumstances because the Director has met
the standard of conduct set forth in subsection (a) of Section I.

     (b) The determination shall be made:

          (1) By the Board of Directors by majority vote of a quorum consisting
     of Directors not at the time parties to the proceeding; or

          (2) If a quorum cannot be obtained under paragraph (1) of this
     subsection, by majority vote of a committee duly designated by the Board of
     Directors (in which designation Directors who are parties may participate),
     consisting solely of one (1) or more Directors not at the time parties to
     the proceeding; or

          (3) By special legal counsel:

               (i) Selected by the Board of Directors or its committee in the
          manner prescribed in paragraphs (1) or (2) of this subsection (b); or

               (ii) If a quorum of the Board of Directors cannot be obtained
          under paragraph (1) of this subsection (b) and a committee cannot be
          designated under paragraph (2) of this subsection, selected by
          majority vote of the full Board of Directors (in which selection
          Directors who are parties may participate); or

          (4) By the Shareholders, but shares owned by or voted under the
     control of Directors who are at the time parties to the proceeding may not
     be voted on the determination.

     (c) Authorization of indemnification or an obligation to indemnify and
evaluation as to reasonableness of expenses shall be made in the same manner as
the determination that indemnification is required, except that if the
determination that indemnification is required is made by special legal counsel,
evaluation as to reasonableness of expenses shall be made by those entitled
under paragraph (3) of subsection (b) of this Bylaw provision to select counsel.

     SECTION 5. INDEMNIFICATION OF OFFICERS. EMPLOYEES, AND AGENTS. Unless the
Articles of Incorporation provide otherwise:

     (1) An Officer of the Corporation who is not a Director is entitled to
mandatory indemnification under Section 2 of these Bylaws to the same extent as
a Director; and

     (2) The Corporation may, in the discretion of the Board of Directors,
indemnify and advance expenses to an Officer, employee, or agent, who is not a
Director, to the extent the Board deems appropriate, consistent with public
policy.

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SECTION 6. DIRECTOR'S EXPENSES AS A WITNESS. This Article VIII does not limit
the Corporation's power to pay or reimburse expenses incurred by a Director in
connection with such Director's appearance as a witness in a proceeding at a
time when such Director has not been made a named defendant or respondent to the
proceeding.

                ARTICLE IX. REIMBURSEMENT BY CORPORATE EMPLOYEES

     SECTION 1. DIRECTORS. The Board of Directors shall have the power to alter,
amend, or repeal these Bylaws or adopt new Bylaws unless such power is reserved
exclusively to the Shareholders by the Articles of Incorporation or in Bylaws
previously adopted by the Shareholders, but any Bylaws adopted by the Board of
Directors may be altered, amended, or repealed, and new Bylaws adopted, by the
Shareholders,

     SECTION 2. SHAREHOLDERS. The Shareholders shall have the power to alter,
amend, or repeal these Bylaws or adopt new Bylaws at any regular meeting or at
any special meeting of the Shareholders. The Shareholders may prescribe that any
Bylaw or Bylaws adopted by them shall not be altered, amended, or repealed by
the Board of Directors.

     EXECUTED AND EFFECTIVE as of the 4TH day of December, 2002.

                                         J. DAVID SMITH, M.D., INC.

Attest:


 /s/ J. David Smith                                  /s/ J. David Smith
----------------------------------              -------------------------------
By: J. David Smith, M.D,                        By: J. David Smith, M.D.
As its: Secretary                               As its: President

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