Individual
PATRICIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1879 SAVAGE RD, CHARLESTON, SC 29407-4726
(843) 763-9472
Mailing address
1879 SAVAGE RD, CHARLESTON, SC 29407-4726
(843) 763-9472
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51191
SC
207R00000X
Internal Medicine Physician
LL51191
SC
208000000X
Pediatrics Physician
51191
SC
Other
Enumeration date
06/19/2017
Last updated
09/16/2021
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