Individual
SHAWN A SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
877B W FARIS RD, GREENVILLE, SC 29605-4254
(864) 455-6900
(864) 255-5619
Mailing address
877B W FARIS RD, GREENVILLE, SC 29605-4254
(864) 455-6900
(864) 255-5619
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
SC
Other
Enumeration date
12/22/2005
Last updated
07/08/2007
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