Individual
MRS. LINDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
151 RAZORBACK LN, WALHALLA, SC 29691-1624
(864) 886-4490
(864) 886-4488
Mailing address
151 RAZORBACK LN, WALHALLA, SC 29691-1624
(864) 886-4490
(864) 886-4488
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P18689
SC
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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