Individual
TRACY Y SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
224 TIMBERLEAF DR, DUNCAN, SC 29334-9297
(864) 631-7768
Mailing address
224 TIMBERLEAF DR, DUNCAN, SC 29334-9297
(864) 631-7768
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
004112580
SC
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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