Individual
MRS. COLLYN BOWMAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 VERDAE BLVD STE 101, GREENVILLE, SC 29607-4098
(864) 990-1910
(864) 990-1911
Mailing address
722 BOWMAN RD, IVA, SC 29655-8007
(864) 617-3335
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3946
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/31/2019
Last updated
12/27/2023
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