Individual
MRS. TAMMY RUTLEDGE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNA
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-8752
(843) 777-8705
Mailing address
PO BOX 100551, FLORENCE, SC 29501-0551
(843) 777-8752
(843) 777-8750
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0070528
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
3231
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1576
—
SC
Enumeration date
03/22/2007
Last updated
02/01/2008
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