Individual
WHITNEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 AVONDALE AVE, CHARLESTON, SC 29407-7221
(910) 262-1190
Mailing address
57 AVONDALE AVE, CHARLESTON, SC 29407-7221
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
271047265
SC
Other
Enumeration date
10/03/2009
Last updated
10/03/2009
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