Individual
TRAVIS RILEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2000 E GREENVILLE ST STE 3700, ANDERSON, SC 29621-1725
(864) 512-1475
(864) 512-1930
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 512-1475
(864) 512-1930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL87613
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2021
Last updated
07/08/2022
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