Most Relevant Information
Provider Data
NPI Number: | 1003286485 |
Provider Name: | ANDY W SMITH |
Entity Type: | Individual |
Taxonomy Code: | 172A00000X |
Specialty: | Driver |
License Number: | S530067866344 |
Most Important Dates
Enumeration Date: | 09/29/2015 |
Last Updated: | 09/29/2015 |
Provider Practice Location
424 1/2 S HEMLOCK RD
HEMLOCK
MI
486268784
Practice Location Phone/Fax
Phone: | 9898901823 |
Fax: |
Provider Mailing Location
424 1/2 S HEMLOCK RD
HEMLOCK
MI
48626
Provider Mailing Phone/Fax
Phone: | 9898901823 |
Fax: |