Individual
PATRICIA SUZANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN APRN BC
Contact information
Practice address
641 LITTLE TONY AVE, MURRELLS INLET, SC 29576-6281
(843) 357-8558
(843) 357-4349
Mailing address
641 LITTLE TONY RD, P.O. BOX 2792, MURRELS INLET, SC 29576
(843) 357-8558
(843) 357-4349
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
26971
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26971
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
522376697
TAX ID
SC
Enumeration date
07/18/2006
Last updated
06/16/2011
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