Individual
JILL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, ATC
Contact information
Practice address
146 LONGVIEW DR, JEFFERSON, GA 30549-1232
(678) 372-3795
Mailing address
146 LONGVIEW DR, JEFFERSON, GA 30549-1232
(678) 372-3795
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009056
GA
2255A2300X
Athletic Trainer
009056
GA
Other
Enumeration date
09/11/2007
Last updated
11/19/2019
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