Individual
ANNA D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
2550 ELMS CENTER RD, N CHARLESTON, SC 29406-9844
(843) 302-8840
(843) 569-5882
Mailing address
201 SIGMA DR, STE 100, SUMMERVILLE, SC 29486-7715
(843) 302-8840
(843) 569-5882
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18354
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2441
—
SC
01
—
P01210558
RR-MEDICARE
SC
Enumeration date
07/01/2013
Last updated
08/30/2016
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