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Individual

DR. GWENDOLYN ROSE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
807 N MAIN ST, TRAVELERS REST, SC 29690-1551
(864) 455-9790
(864) 455-9795
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2021-02165
NC
207Q00000X
Family Medicine Physician
Primary
91090
SC
207Q00000X
Family Medicine Physician
OS018950
PA

Other

Enumeration date
06/16/2016
Last updated
04/30/2024
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