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Organization
SMITH PHYSICAL THERAPY SERVICES LLC
Active
Organization
SMITH PHYSICAL THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON SMITH DPT (PHYSICAL THERAPIST / OWNER)
(478) 272-2100
Entity
Organization
Contact information
Practice address
1406 BELLEVUE RD, DUBLIN, GA 31021-2956
(478) 272-2100
(478) 272-2005
Mailing address
1406 BELLEVUE RD, DUBLIN, GA 31021-2956
(478) 272-2100
(478) 272-2005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003195351A
—
GA
Enumeration date
08/23/2018
Last updated
08/23/2018
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