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Individual

BENNETT SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT, PT

Contact information

Practice address
110 SC-225, GREENWOOD, SC 29646
(864) 223-0406
Mailing address
6611 MERRILL RD, COLUMBIA, SC 29209-2057
(910) 916-9957

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11804
SC

Other

Enumeration date
04/04/2023
Last updated
04/04/2023
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