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Individual

SINJIN KYLE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
(803) 434-7000
Mailing address
1220 MEREDITH DR UNIT 1402, COLUMBIA, SC 29212-0990
(307) 752-4785

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
59464
ID
367500000X
Certified Registered Nurse Anesthetist
Primary
28453
SC

Other

Enumeration date
06/08/2021
Last updated
08/05/2024
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