Individual
SUSAN E SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
355 CEDAR SPRINGS RD, SPARTANBURG, SC 29302-4628
(864) 577-7675
(864) 577-7629
Mailing address
355 CEDAR SPRINGS RD, SPARTANBURG, SC 29302-4628
(864) 577-7675
(864) 577-7629
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
88295
SC
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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