Individual
DR. RANDALL JOHN SMIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1744 SAM RITTENBERG BLVD, STE. A3, CHARLESTON, SC 29407-4935
(843) 364-5180
Mailing address
1723 WATERBROOK DR, CHARLESTON, SC 29414-8006
(843) 364-5180
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1054
SC
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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