Individual
MRS. HARVELYN DUNCAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1250 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4545
(770) 719-7290
Mailing address
412 MAZLEY DR, LOCUST GROVE, GA 30248-7027
(770) 914-7727
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001336
GA
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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