Individual
RAYMOND GLENN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1 PINCKNEY BLVD, BEAUFORT, SC 29902-6122
(843) 228-3633
Mailing address
1 PINCKNEY BLVD, BEAUFORT, SC 29902-6122
(843) 228-3633
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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