Individual
MR. PAUL EDWARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
126 CHESTNUT POND LN, SIMPSONVILLE, SC 29681-8182
(864) 484-7681
Mailing address
126 CHESTNUT POND LN, SIMPSONVILLE, SC 29681-8182
(864) 484-7681
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
236770
SC
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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