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Individual

FELICIA SHAVETTA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
153 FOUNDERS CT, ORANGEBURG, SC 29118-2087
(803) 268-5300
Mailing address
208 COTTON ST, NORTH, SC 29112-8281
(803) 308-3937
(803) 308-3937

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
30027
SC

Other

Enumeration date
05/24/2025
Last updated
05/24/2025
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