Individual
ELIZABETH THORNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
201 N MAIN ST, GREENVILLE, SC 29601-2197
(864) 849-8102
Mailing address
104 BROOKVIEW CIR, GREENVILLE, SC 29605-3044
(252) 917-2638
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
25173
SC
Other
Enumeration date
07/11/2021
Last updated
07/11/2021
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