Individual
TRACIE D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
100 OMNI DR, SUITE B, SENECA, SC 29672-9448
(864) 482-2350
(864) 482-2355
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN2677
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4697
—
SC
Enumeration date
01/26/2006
Last updated
07/22/2024
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