Organization
SUMTER NEPHROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY W SMITH II DO (OWNER)
(803) 938-5663
Entity
Organization
Contact information
Practice address
3 MEDICAL CT, SUMTER, SC 29150-4760
(803) 938-5663
(803) 938-5088
Mailing address
115 N SUMTER ST, 305, SUMTER, SC 29150-4972
(803) 938-5663
(803) 339-1984
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP6300
—
SC
Enumeration date
04/17/2013
Last updated
01/27/2025
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