Individual
REBECCA L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1700 FIRST BAXTER XING, STE 101, FORT MILL, SC 29708-8919
(803) 802-3376
Mailing address
1700 FIRST BAXTER XING, STE 101, FORT MILL, SC 29708-8919
(803) 802-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
15514
SC
207N00000X
Dermatology Physician
NC9901324
NC
207NP0225X
Pediatric Dermatology Physician
15514
SC
207NP0225X
Pediatric Dermatology Physician
NC9901324
NC
Other
Enumeration date
01/25/2006
Last updated
02/02/2018
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