Individual
MISS PHYLICIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2274 ASHLEY RIVER RD APT 1106S, CHARLESTON, SC 29414-4765
(803) 613-4494
Mailing address
2274 ASHLEY RIVER RD APT 1106S, CHARLESTON, SC 29414-4765
(803) 613-4494
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/19/2021
Last updated
09/19/2021
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