Individual
CHRISTINE SMOAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 WEST AVENUE N, PINEWOOD, SC 29125-0163
(803) 491-6100
(803) 452-6839
Mailing address
PO BOX 163, PINEWOOD, SC 29125-0163
(803) 491-6100
(803) 452-6839
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
56773
SC
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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