Individual
ANGELA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
216 HOOK RD, HONEA PATH, SC 29654-7819
(864) 913-6602
Mailing address
216 HOOK RD, HONEA PATH, SC 29654-7819
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102275922
DRIVERS LICENSE
SC
Enumeration date
07/26/2019
Last updated
07/26/2019
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