Individual
MRS. JENNIFER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
500 E FIRST ST, SWANSEA, SC 29160-9004
(803) 568-1100
(803) 568-1117
Mailing address
500 E FIRST ST, SWANSEA, SC 29160-9004
(803) 568-1100
(803) 568-1117
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P31276
SC
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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