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Individual

STEPHANIE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
615 HALTON RD, GREENVILLE, SC 29607-3403
(864) 676-1707
Mailing address
292 RED FOX LN, CHESNEE, SC 29323-8614
(828) 817-5606

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
219956
SC

Other

Enumeration date
07/25/2019
Last updated
07/25/2019
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