Individual
REBECCA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2210 LAURENS RD, GREENVILLE, SC 29607-3224
(864) 288-8280
Mailing address
2210 LAURENS RD, GREENVILLE, SC 29607-3224
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24725
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/28/2020
Last updated
09/13/2023
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