Individual
MR. PETER ANDREW SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5755 SHATTALON DR, WINSTON SALEM, NC 27105-1332
(336) 744-2779
Mailing address
138 BRIER CREEK RD, ADVANCE, NC 27006-7151
(336) 998-0979
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3655
NC
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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