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: |