Individual
MRS. PAULA ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
880 W MOULTRIE ST, SUITE 200, WINNSBORO, SC 29180-2411
(803) 635-6461
(803) 635-4200
Mailing address
PO BOX 1218, WINNSBORO, SC 29180-5218
(803) 635-6461
(803) 635-4200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1047
SC
363LA2200X
Adult Health Nurse Practitioner
1047
SC
Other
Enumeration date
09/24/2007
Last updated
03/19/2013
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