Individual
MR. GREGORY WILLIAM SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
108 ANNAPOLIS VIEW RD, STEVENSVILLE, MD 21666-2829
(202) 329-7004
Mailing address
108 ANNAPOLIS VIEW RD, STEVENSVILLE, MD 21666-2829
(202) 329-7004
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0001124
MD
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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