Individual
JUSTIN ADAM SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
OWENS FIELD HOUSE, 135 JACK BRANCH DRIVE, BOONE, NC 28608-0001
(828) 262-6265
(828) 262-7099
Mailing address
OWENS FIELD HOUSE, 135 JACK BRANCH DRIVE, BOONE, NC 28608-0001
(828) 262-6265
(828) 262-7099
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1469
NC
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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