Individual
DR. GREGORY WAYNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
104 E VAUGHN AVE, RUSTON, LA 71270-5953
(318) 251-2331
Mailing address
104 E VAUGHN AVE, RUSTON, LA 71270-5953
(318) 251-2331
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1538
LA
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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