Organization
KEYOKA S SMITH DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEYOKA SHEREE SMITH DPM (PODIATRIST/OWNER)
(803) 570-2209
Entity
Organization
Contact information
Practice address
4100 N MAIN ST STE 202, COLUMBIA, SC 29203-5800
(803) 570-2209
Mailing address
PO BOX 705, COLUMBIA, SC 29202-0705
(803) 570-2209
(888) 866-4740
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
622
SC
Other
Enumeration date
03/26/2015
Last updated
08/30/2020
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