Individual
SHANA M COLLINS-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
12016 N RADIO STATION RD, SENECA, SC 29678-1143
(864) 882-6141
(864) 882-6680
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20726
SC
Other
Enumeration date
02/09/2017
Last updated
02/11/2017
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