Individual
VANIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1624 MAIN ST, COLUMBIA, SC 29201-2818
(803) 454-0364
Mailing address
1624 MAIN ST, COLUMBIA, SC 29201-2818
(803) 454-0364
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
5012
SC
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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