Individual
BRYAN TAYLOR SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
455 PHILIP BLVD BLDG 100-160, LAWRENCEVILLE, GA 30046-8767
(678) 985-0238
(678) 985-0136
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013749
GA
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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