Individual
JEFFREY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1075 BOILING SPRINGS RD, SPARTANBURG, SC 29303-2248
(864) 583-7265
(864) 591-0422
Mailing address
1075 BOILING SPRINGS RD, SPARTANBURG, SC 29303-2248
(864) 583-7265
(864) 591-0422
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
57011532
OH
208100000X
Physical Medicine & Rehabilitation Physician
N6674
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
MD35262
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352629
—
SC
01
—
8DB689
BCBS OF TEXAS
TX
01
—
P01658235
RAILROAD MEDICARE
SC
Enumeration date
05/04/2007
Last updated
07/12/2016
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