Individual
JULIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 EASTERN BLVD, CLARKSVILLE, IN 47129-2453
(901) 550-8517
Mailing address
625 EASTERN BLVD, CLARKSVILLE, IN 47129-2453
(901) 550-8517
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
BC20001809
IN
Other
Enumeration date
09/29/2019
Last updated
09/29/2019
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