Individual
NYKEIA SMALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3728 LOWCOUNTRY HWY, YEMASSEE, SC 29945-4112
(843) 599-3523
(843) 844-8691
Mailing address
3728 LOWCOUNTRY HWY, YEMASSEE, SC 29945-4112
(843) 599-3523
(843) 844-8691
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
616CNW
SC
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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