Individual
DALE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MPH, MSN
Contact information
Practice address
1931 INDUSTRIAL PARK RD, CONWAY, SC 29526-5482
(843) 915-8887
(843) 365-0104
Mailing address
1931 INDUSTRIAL PARK RD, CONWAY, SC 29526-5482
(843) 915-8887
(843) 365-0104
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN.55198
SC
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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