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1487079588
CHARLES EDWARD SMITH
WEST COLUMBIA, SC
NPI
1487079588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 3501)
Enumeration Date
2014-02-26
Last Update Date
2014-02-26
Business Address
CHARLES EDWARD SMITH PTA
2993 SUNSET BLVD
WEST COLUMBIA, SC 29169-3421
Phone number: 803-939-0026
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Mailing Address
CHARLES EDWARD SMITH PTA
208 SKY CREST CT
LEXINGTON, SC 29073-7403
Phone number: 803-939-0026
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