Individual
LAURA LEIGH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-3076
(864) 455-4135
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6308
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
108429
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
21785
SC
367500000X
Certified Registered Nurse Anesthetist
92808
NC
Other
Enumeration date
02/11/2013
Last updated
04/28/2020
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