Individual
MRS. TAMMIE MICHELLE SMOAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1161 COOK RD, ORANGEBURG, SC 29118-8204
(803) 395-4615
Mailing address
1161 COOK RD, ORANGEBURG, SC 29118-8204
(803) 395-4615
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27215
SC
Other
Enumeration date
09/27/2022
Last updated
06/28/2024
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