Individual
REBECCA SMITH DELOACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
905 VERDAE BLVD STE 204, GREENVILLE, SC 29607-4029
(864) 255-5609
(864) 240-5028
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8614
(864) 797-6198
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1461
SC
Other
Enumeration date
11/09/2010
Last updated
09/11/2020
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