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Individual

MARGARET SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1196
Mailing address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1196

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9268
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9268
PT STATE LICENSE NUMBER
SC
Enumeration date
10/17/2021
Last updated
10/17/2021
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