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Individual

DANIEL MOUZON SMITH JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
390 KEOWEE SCHOOL RD, SENECA, SENECA, SC 29672-6743
(864) 885-7129
(864) 882-7240
Mailing address
1 INDEPENDENCE PT, GREENVILLE, GREENVILLE, SC 29615-4545
(864) 797-6044
(864) 797-6198

Taxonomy

Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
18070
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1669442927
NPI
05
180707
SC
05
GP4697
SC
Enumeration date
01/26/2006
Last updated
11/01/2013
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