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Individual

MICHAEL SCOTT SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
910 JOHNNIE DODDS BLVD, MOUNT PLEASANT, SC 29464-3105
(843) 971-0291
Mailing address
1054 ANNA KNAPP BLVD, APARTMENT 10 E, MOUNT PLEASANT, SC 29464-3163
(215) 932-1729

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
020602
PA
225100000X
Physical Therapist
Primary
6869
SC

Other

Enumeration date
06/22/2010
Last updated
10/04/2012
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