Individual
CHARLES E SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 879-5941
Mailing address
850 S SILVERADO DR APT 103, FAYETTEVILLE, AR 72701-7851
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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