Individual
JO ELLEN SMOAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 CARTER PARK DR, SENECA, SC 29678-1152
(864) 885-0157
Mailing address
200 MCGEE RD, ANDERSON, SC 29625-2104
(864) 965-9450
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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