Individual
THEISHA MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6080 MASON CREEK CIR UNIT 204, INDIAN LAND, SC 29707-7921
(704) 941-1778
Mailing address
6080 MASON CREEK CIR UNIT 204, INDIAN LAND, SC 29707-7921
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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