Individual
VALDA L. SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2000 E GREENVILLE ST, ANDERSON, SC 29621-1580
(864) 512-6612
Mailing address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1417
(864) 512-1823
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16607
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166073
—
SC
Enumeration date
04/14/2006
Last updated
07/09/2007
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