BRENTLY TED SMITH

COLUMBUS, GA
NPI1790990844
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  05052)
Enumeration Date2007-05-11
Last Update Date2020-03-20
Business Address
Mr. BRENTLY TED SMITH PA-C
2416 CAPSTONE CT
COLUMBUS, GA 31909-2795
Phone number: 706-327-1281
Mailing Address
Mr. BRENTLY TED SMITH PA-C
2416 CAPSTONE CT
COLUMBUS, GA 31909-2795
Phone number: 706-327-1281
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