Individual
EMILY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 WHALEY STREET, COLUMBIA, SC 29208-0001
(337) 244-9815
Mailing address
312 ORCHARD DR, LAKE CHARLES, LA 70605-4446
(337) 244-9815
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3280
SC
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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