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Individual

JAMES HAYWOOD SMITH JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
920 DOUG WHITE DR STE 460, MYRTLE BEACH, SC 29572-4182
(843) 449-2336
(843) 497-0625
Mailing address
920 DOUG WHITE DR STE 460, MYRTLE BEACH, SC 29572-4182
(843) 449-2336
(843) 497-0625

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
51588
KY
207T00000X
Neurological Surgery Physician
Primary
83970
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100253080
KY
Enumeration date
06/09/2011
Last updated
01/26/2022
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