Individual
MARY GRACE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
146 EMERALD RD, SENECA, SC 29678-1123
(864) 247-2797
Mailing address
146 EMERALD RD, SENECA, SC 29678-1123
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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