Individual
JOHN THOMAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
834 W MEETING ST BLDG 4, SUITE E, LANCASTER, SC 29720-6251
(803) 285-5900
Mailing address
PO BOX 23321, NEW YORK, NY 10087-3321
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
47458
MN
207V00000X
Obstetrics & Gynecology Physician
92941
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420093400
—
MN
Enumeration date
07/17/2006
Last updated
07/16/2024
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