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Individual

DAVID BRANDON SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 985-3420
Mailing address
PO BOX 40, MOULTRIE, GA 31776-0040
(229) 891-9131
(229) 891-9079

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
30590
FL
225100000X
Physical Therapist
Primary
PT012560
GA

Other

Enumeration date
09/10/2015
Last updated
02/14/2018
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