Individual
MRS. MINDY ALLISON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
131 SUNSET CT, WEST COLUMBIA, SC 29169-2429
(803) 796-2222
Mailing address
153 RIDGE TOP RD, LEXINGTON, SC 29072-7131
(803) 316-4962
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
25442
SC
363LP2300X
Primary Care Nurse Practitioner
Primary
25442
SC
Other
Enumeration date
01/31/2022
Last updated
12/20/2022
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