Individual
REBECCA STARR SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1409 W GEORGIA RD, SUITE B, SIMPSONVILLE, SC 29680-6419
(864) 454-5000
(864) 454-5005
Mailing address
300 E MCBEE AVE STE 401, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23175
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080184139
RR MEDICARE
SC
01
—
3287549
CIGNA ID
SC
01
—
571004971025
BCBS OF SC ID
SC
01
—
7525361
AETNA ID
SC
05
—
T73827
—
SC
Enumeration date
06/15/2006
Last updated
03/31/2021
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