Individual
JANNA LOUISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 BULL ST, COLUMBIA, SC 29201-1708
(803) 576-2870
Mailing address
1720 BROOK DR, CAMDEN, SC 29020-2063
(704) 441-7876
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
291843
NC
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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