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Individual

LINCOLN T SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 692-1000
Mailing address
1310 RIVERBEND DRIVE APP. 207, KINGSPORT, TN 37664
(513) 497-4559

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/21/2023
Last updated
03/21/2023
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