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Individual

MR. DANNIE CARROLL SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, ECS

Contact information

Practice address
42 DOGWOOD TRL, THOMASTON, GA 30286-4911
(706) 647-6218
(706) 647-3480
Mailing address
42 DOGWOOD TRL, THOMASTON, GA 30286-4911
(706) 647-6218
(706) 647-3480

Taxonomy

Speciality
Code
Description
License number
State
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
PT000819
GA

Other

Enumeration date
03/12/2008
Last updated
03/12/2008
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