Individual
DR. IRVING RUSSELL SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3010 FARROW RD, SUITE 200, COLUMBIA, SC 29203-7607
(803) 799-2204
(803) 799-2954
Mailing address
1520 LAUREL ST, COLUMBIA, SC 29201-2623
(803) 799-8407
(803) 376-1163
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
10064
SC
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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