Individual
PAMELA J SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN/APRN
Contact information
Practice address
105 N MAGNOLIA ST, SUMTER, SC 29150-4941
(803) 773-5511
Mailing address
105 N MAGNOLIA ST, SUMTER, SC 29150-4941
(803) 773-5511
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
34862
SC
363LF0000X
Family Nurse Practitioner
APN-TP 19170
SC
Other
Enumeration date
03/14/2014
Last updated
11/05/2014
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