Individual
PAIGE SMITH DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
200 LASSO DR, WARNER ROBINS, GA 31088-6648
(478) 542-4918
Mailing address
1787 PIPERS RIDGE CIR NW, CONOVER, NC 28613-8096
(336) 953-4072
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-3866
NC
Other
Enumeration date
07/22/2018
Last updated
05/19/2022
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