Individual
MARTIN LUTHER SMITH SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 MOCKINGBIRD RD, COLUMBIA, SC 29204-3123
(803) 543-8936
(866) 806-7982
Mailing address
2000 MOCKINGBIRD RD, COLUMBIA, SC 29204-3123
(803) 543-8936
(866) 806-7982
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
IHCP-0198
SC
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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