Individual
LISA ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
102 MOUNTAIN SHORE DR, GREENWOOD, SC 29649-8600
(859) 358-6102
(859) 358-6102
Mailing address
102 MOUNTAIN SHORE DR, GREENWOOD, SC 29649-8600
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
247774
SC
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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