Individual
PRATTERA ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 MC DANIEL AVE, PICKENS 29671, SC 29671
(864) 898-5695
Mailing address
PO BOX 1005, SENECA, SC 29679-1005
(864) 903-0159
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P29937
SC
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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