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DR. EDWARD J SMITH D.C. P.C.
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1558424796
Individual Registrant:DR. EDWARD J SMITH D.C. P.C.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
564 CHARLIE SMITH SR. HWY. ST. MARYS, GA 31558 US
Tel: 912-882-7880 Fax: 912-882-7311
Tel: 912-882-7880 Fax: 912-882-7311
Contact information for business:
PO BOX 5035 SAINT MARYS, GA 31558-5035 US
Tel: 912-882-7880 Fax: 912-882-7311
Tel: 912-882-7880 Fax: 912-882-7311
Registration Information:
NPI: 1558424796
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractic Providers Chiropractor | GA | 2860 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
