Individual
TIM W SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
190 INDEPENDENCE DR, ROEBUCK, SC 29376-3335
(812) 457-5367
Mailing address
933 PINE LOG RD # 1068, AIKEN, SC 29803-7330
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
02/06/2024
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