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Individual

CAROLYN MARIE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3320 APPOMATOX DR, CONWAY, AR 72032-9107
(501) 574-2196
Mailing address
3320 APPOMATOX DR, CONWAY, AR 72032-9107
(501) 574-2196

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
AR

Other

Enumeration date
10/28/2025
Last updated
10/28/2025
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