Individual
MR. MICHAEL GRADY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SCAT
Contact information
Practice address
275 E ALEXANDER LOVE HWY, YORK, SC 29745-5502
(803) 818-6274
(803) 684-1506
Mailing address
275 E ALEXANDER LOVE HWY, YORK, SC 29745-5502
(803) 818-6274
(803) 684-1506
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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