Individual
ERICA GOLDSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
719 CLINTON PKWY STE B, CLINTON, MS 39056-5245
(601) 924-7828
(601) 924-3979
Mailing address
719 CLINTON PKWY STE B, CLINTON, MS 39056-5245
(601) 924-7828
(601) 924-3979
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5812
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5812
PT LICENSE
MS
Enumeration date
08/28/2018
Last updated
08/28/2018
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