Individual
CHARLES EDWARD SMITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2993 SUNSET BLVD, WEST COLUMBIA, SC 29169-3421
(803) 939-0026
Mailing address
208 SKY CREST CT, LEXINGTON, SC 29073-7403
(803) 939-0026
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3501
SC
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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