Individual
HEATH HERNDON SMYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6250 OLD CANTON RD, JACKSON, MS 39211-2946
(601) 968-1000
(601) 944-9780
Mailing address
6250 OLD CANTON RD, JACKSON, MS 39211-2946
(601) 968-1000
(601) 944-9780
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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