Individual
SONYA LYNN SMOAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
129 N WASHINGTON ST, SUMTER, SC 29150-4949
(803) 774-9111
Mailing address
1434 MOHAWK DR, WEST COLUMBIA, SC 29169-6201
(803) 774-9111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1318
SC
Other
Enumeration date
09/22/2008
Last updated
12/22/2010
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