Individual
SHERONDA QUILLER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 GREENE ST, COLUMBIA, SC 29208-4001
(803) 439-8238
Mailing address
1601 GREENE ST, COLUMBIA, SC 29208-4001
(803) 439-8238
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
29917
SC
Other
Enumeration date
04/04/2024
Last updated
10/13/2025
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