Individual
MARY LOUISE STEADMAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
309 WEST AVE, NORTH AUGUSTA, SC 29841-3800
(803) 279-1412
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(803) 202-7159
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
595
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0402
—
SC
Enumeration date
11/29/2006
Last updated
07/08/2020
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