Individual
LAVANDA AYANA SMOOT MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2724 W PALMETTO ST STE 5, FLORENCE, SC 29501-4909
(843) 799-2649
(843) 799-4224
Mailing address
2724 W PALMETTO ST STE 5, FLORENCE, SC 29501-4909
(843) 799-2649
(843) 799-4224
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
236919
SC
247ZC0005X
Clinical Laboratory Director (Non-physician)
—
—
363LF0000X
Family Nurse Practitioner
Primary
29323
SC
Other
Enumeration date
08/20/2021
Last updated
05/05/2026
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