Individual
DR. MARY ELIZABETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T
Contact information
Practice address
212 SPRING OAK LN, NORTH AUGUSTA, SC 29841-3817
(404) 358-7348
Mailing address
212 SPRING OAK LN, NORTH AUGUSTA, SC 29841-3817
(404) 358-7348
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010720
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT010720
PHYSICAL THERAPY LICENSE NUMBER
GA
Enumeration date
11/19/2012
Last updated
11/19/2012
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