Individual
KEVIN J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1575 HIGHWAY 34 E, NEWNAN, GA 30265-2401
(770) 252-5279
(770) 252-9940
Mailing address
1575 HIGHWAY 34 E, NEWNAN, GA 30265-2401
(770) 252-5279
(770) 252-9940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009115
GA
Other
Enumeration date
09/14/2007
Last updated
09/03/2014
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