Individual
JUDITH CORRELL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6035 MOSSEY GROVE LN, AWENDAW, SC 29429-6132
(843) 714-7462
Mailing address
6035 MOSSEY GROVE LN, AWENDAW, SC 29429-6132
(843) 714-7462
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
81301
SC
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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