Krystal Smith ATC

NPI 1104994425 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1104994425
Gender Female
Enumeration Date 12/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1000 SPRING GARDEN ST.
136 HHP BUILDING, UNCG ATHLETICS
GREENSBORO NC, 27402-6168, US
Phone (336) 334-5925
Fax (334) 256-0407
Business Location
4007 PERSIMMON CT
GREENSBORO NC, 27410-8620, US
Phone (714) 393-9115
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State North Carolina
License Number 1152
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According to our database, Miss Krystal Smith ATC NPI is 1104994425, taxonomy code is 2255A2300X and license number is 1152, license state is located at North Carolina. Krystal Smith ATC physically located at 1000 Spring Garden St., Greensboro NC, 27402-6168. NPI Number Krystal Smith ATC has the Individual type.

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1104994425 NPI number is provided on an as is basis without warranty of any kind. 1104994425 is maintained by the National Plan & Provider Enumeration System. The contents of Krystal Smith ATC are for informational purposes only.