Individual
MR. MARION JACKSON SMITH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-6789
Mailing address
4575 STUART STREET, COLUMBIA, SC 29207
(803) 751-6789
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1073896
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073896
NCCPA CERTIFICATE #
—
01
—
PA4340
SOUTH CAROLINA LICENSE NUMBER
SC
Enumeration date
02/20/2007
Last updated
07/16/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us