Individual
MRS. SMITA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
2435 FOREST DR, COLUMBIA, SC 29204-2026
(803) 638-1399
Mailing address
1323 GARNER LN, COLUMBIA, SC 29210-8301
(803) 665-6691
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
074831
SC
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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