Individual
MICHAEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
GENERAL CONTRACTOR
Contact information
Practice address
1640 BERTHA MARIE LN, WADMALAW ISLAND, SC 29487-7188
(843) 475-3511
Mailing address
1640 BERTHA MARIE LN, WADMALAW ISLAND, SC 29487-7188
(843) 475-3511
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
117506
SC
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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