Individual
TAMMY C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
132 SUNSET CT, WEST COLUMBIA, SC 29169-2429
(803) 794-3700
(803) 794-0322
Mailing address
132 SUNSET CT, WEST COLUMBIA, SC 29169-2429
(803) 794-3700
(803) 794-0322
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F1834
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F1834
STATE LICENSE #
SC
Enumeration date
05/25/2006
Last updated
06/30/2010
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