Individual
MRS. CRYSTAL LEIGH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6000
Mailing address
264 SILVER HAWK DR, DUNCAN, SC 29334-8401
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21418
SC
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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