Individual
IAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 WELLNESS BLVD STE 109, IRMO, SC 29063-2872
(803) 749-1111
(803) 749-0050
Mailing address
7182 WOODROW ST STE 200, IRMO, SC 29063-2958
(803) 749-1111
(803) 749-0050
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
20028
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20028
SC MEDICAL LICENSE
SC
05
—
GP0749
—
SC
Enumeration date
07/25/2006
Last updated
05/05/2024
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