Individual
JILL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 GREEN ST, ROSWELL, GA 30075-3609
(770) 998-1802
Mailing address
1625 WARSAW POINTE, MARIETTA, GA 30062-2078
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT010053
GA
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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