Individual
MIKAYLA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4711 FOREST DR STE 9, COLUMBIA, SC 29206-3125
(803) 266-9920
Mailing address
4711 FOREST DR STE 9, COLUMBIA, SC 29206-3125
(803) 266-9920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29851
SC
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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