| Gordon E Smith, LPT | |
|
117 Bo Bo Dr, Crystal Springs, MS 39059-2741 | |
| (601) 892-6330 | |
| Not Available |
| Full Name | Gordon E Smith |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 117 Bo Bo Dr, Crystal Springs, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396893160 | NPI | - | NPPES |
| 08276334 | Medicaid | MS | |
| 1431281 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT1039 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon E Smith, LPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Gordon E Smith, LPT 117 Bo Bo Dr, Crystal Springs, MS 39059-2741 Ph: (601) 892-6330 |
Cynthia Tronstad, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 117 Bo Bo Dr, Crystal Springs, MS 39059 Phone: 601-892-6330 Fax: 601-892-6331 | |
Kaleb Delton Smith, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 117 Bo Bo Dr, Crystal Springs, MS 39059 Phone: 601-892-6330 Fax: 601-892-6331 | |
Taylor W Buntyn, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 102 W. Railroad Ave, Crystal Springs, MS 39059 Phone: 601-647-9010 Fax: 601-647-9011 | |
Amber Gail Mccullum, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 512 Harmony Rd, Crystal Springs, MS 39059 Phone: 601-750-7180 | |
Mrs. Tonya G Mclendon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 102 W Railroad Ave N, Crystal Springs, MS 39059 Phone: 601-892-8707 Fax: 601-892-7614 | |
Shirley D Moncure, Physical Therapist Medicare: Medicare Enrolled Practice Location: 117 Bo Bo Dr, Crystal Springs, MS 39059 Phone: 601-892-6330 |