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Individual

MR. BRUCE A SMITH JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CST/FA

Contact information

Practice address
241 DEAN RD, GREER, SC 29651-7451
(864) 346-9351
(864) 877-5295
Mailing address
PO BOX 301, LA FRANCE, SC 29656-0301
(864) 346-9351
(864) 877-5295

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SC
246ZS0410X
Surgical Technologist

Other

Enumeration date
10/29/2009
Last updated
05/10/2011
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