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Contact Information

JILL SMITH
1109 GREEN ST
ROSWELL, GA30075-3609
 Phone: 770-998-1802
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JILL SMITH · (Female)

NPI Number 1528834199
Status Active
Credentials
Entity Individual
Enumeration date 11/27/2023
Last updated 11/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # PT010053
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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