Individual
MRS. SUSAN C SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
950 JOLLEY RD, CHESNEE, SC 29323-9167
(864) 592-2404
Mailing address
950 JOLLEY RD, CHESNEE, SC 29323-9167
(864) 592-2404
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LMW-0006
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LM0006
—
SC
Enumeration date
10/17/2006
Last updated
07/09/2007
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