Individual
KIA RENEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
140 TRILLIUM RD, COLUMBIA, SC 29229-6802
(843) 862-3811
Mailing address
140 TRILLIUM RD, COLUMBIA, SC 29229-6802
(843) 862-3811
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
102103
SC
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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