Individual
MR. JORY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1105 SIXTH ST, SUITE 100, TRAVERSE CITY, MI 49684-2349
(231) 392-0640
(231) 392-0643
Mailing address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 392-0421
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007652
MI
Other
Enumeration date
02/10/2016
Last updated
02/23/2024
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