Individual
MRS. JENNIFER TYNETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3455 PEACHTREE PKWY, SUITE 206, SUWANEE, GA 30024-9104
(678) 473-1081
(678) 473-1082
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010029
GA
Other
Enumeration date
08/18/2010
Last updated
04/05/2016
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