Individual
MS. JILL HEINZMANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5671 PEACHTREE DUNWOODY RD NE, SUITE 520, ATLANTA, GA 30342-5000
(678) 843-6000
(678) 843-6008
Mailing address
5671 PEACHTREE DUNWOODY RD NE, SUITE 520, ATLANTA, GA 30342-5000
(678) 843-6000
(678) 843-6008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005190
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005190
STATE LICENSE
GA
Enumeration date
04/17/2013
Last updated
04/17/2013
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