Individual
AMY NICOLE SMALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
169 ASHLEY AVE RM 202, MSC 333, CHARLESTON, SC 29425-8905
(843) 792-0192
Mailing address
169 ASHLEY AVE RM 202, MSC 333, CHARLESTON, SC 29425-8905
(843) 792-0192
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34927
SC
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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