Individual
MARGARET ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1011 FRONTAGE RD, GREENVILLE, SC 29615-4240
(864) 242-4263
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MPA.2027 TL
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2481PA
—
SC
Enumeration date
11/20/2013
Last updated
02/25/2016
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