Individual
REBECCA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 US-378, CONWAY, SC 29527
(540) 493-1329
Mailing address
1936 BERKLEY VILLAGE LOOP, MYRTLE BEACH, SC 29579-3715
(540) 493-1329
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
29198
SC
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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