Individual
JESSE C. SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2675 COURT DR, GASTONIA, NC 28054-1478
(704) 824-7800
Mailing address
135 HAWKS CREEK PKWY, FORT MILL, SC 29708-0026
(443) 880-8529
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
19033
MD
225100000X
Physical Therapist
Primary
4778
SC
Other
Enumeration date
10/25/2006
Last updated
09/11/2021
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