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Individual

MARY CULBERTSON SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
440 OLD TROLLEY RD STE D, SUMMERVILLE, SC 29485-5685
(843) 871-3522
Mailing address
2695 ELMS PLANTATION BLVD STE C, NORTH CHARLESTON, SC 29406-7132
(843) 974-4097

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT8652
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT8652
SC STATE LICENSING BOARD
Enumeration date
06/14/2017
Last updated
07/21/2022
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