Individual
DR. SERENA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
115 N SUMTER ST STE 400, SUMTER, SC 29150-4971
(803) 774-7425
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 774-7425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
41212
CO
207Q00000X
Family Medicine Physician
Primary
51667
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
516677
—
SC
Enumeration date
09/27/2006
Last updated
02/23/2018
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