John Smith

NPI #1982152930 in Fitzgerald, Georgia

Provider Information

NPI Number: 1982152930
Entity Type: Individual
Name: John Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Sep 20, 2016
Last Updated: Sep 20, 2016

Practice Location

Address: 412 W CENTRAL AVE
City: Fitzgerald
State: Georgia
ZIP Code: 31750-2442
Phone: (229) 425-4185

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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