Individual
GREGORY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
3505 PELHAM RD STE B, GREENVILLE, SC 29615-4154
(864) 551-8022
(864) 412-1003
Mailing address
3505 PELHAM RD STE B, GREENVILLE, SC 29615-4154
(864) 551-8022
(864) 412-1003
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
21993
SC
363LF0000X
Family Nurse Practitioner
71010511A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
21993
SC
Other
Enumeration date
08/06/2018
Last updated
07/02/2025
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