Individual
BRODRICK DARREN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Mailing address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4024541
KY
363L00000X
Nurse Practitioner
Primary
4024541
KY
363LF0000X
Family Nurse Practitioner
19388
SC
Other
Enumeration date
03/31/2015
Last updated
11/19/2024
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