Individual
ZACHARY DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
3400 N WESLEYAN BLVD, ROCKY MOUNT, NC 27804-8699
(252) 985-5305
Mailing address
1215 WILBRAHAM RD, SPRINGFIELD, MA 01119-2612
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
3032
MA
2255A2300X
Athletic Trainer
Primary
LAT-4282
NC
Other
Enumeration date
02/24/2018
Last updated
11/12/2020
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