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Individual

ZACHARY JAY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
890 W FARIS RD STE 580, GREENVILLE, SC 29605-4281
(864) 455-7874
(864) 455-8933
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4838
SC
363A00000X
Physician Assistant
Primary
4838
SC

Other

Enumeration date
05/04/2023
Last updated
12/08/2023
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