Individual
IESHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6513 WINYAH DR, COLUMBIA, SC 29203-2072
(803) 381-8651
Mailing address
6513 WINYAH DR, COLUMBIA, SC 29203-2072
(803) 381-8651
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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