Individual
STEPHEN BROOKS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 E GREENVILLE ST, ANDERSON, SC 29621-1529
(864) 332-3098
(855) 232-3959
Mailing address
PO BOX 616788, ORLANDO, FL 32861-6788
(407) 447-7120
(407) 770-0661
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34877
SC
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
34877
SC
207Q00000X
Family Medicine Physician
34877
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
148647
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348779
—
SC
Enumeration date
07/21/2008
Last updated
05/03/2023
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