Individual
DEVON T SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAED, LAT, ATC
Contact information
Practice address
9305 S VICKSBURG PARK CT, CHARLOTTE, NC 28210-7751
(775) 354-4243
Mailing address
9305 S VICKSBURG PARK CT, CHARLOTTE, NC 28210-7751
(775) 354-4243
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1589
NC
Other
Enumeration date
08/13/2013
Last updated
03/03/2014
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