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Individual

CLAUDE WILSON SMITH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2750 LAUREL ST, SUITE 305, COLUMBIA, SC 29204-2038
(803) 254-5140
(803) 779-1279
Mailing address
2750 LAUREL ST, SUITE 305, COLUMBIA, SC 29204-2038
(803) 254-5140
(803) 779-1279

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7673
SC

Other

Enumeration date
01/27/2006
Last updated
07/08/2007
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