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Individual

JEFFREY K SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2094 WOODRUFF RD, GREENVILLE, SC 29607-5939
(864) 676-9211
(864) 676-9432
Mailing address
2094 WOODRUFF RD, GREENVILLE, SC 29607-5939
(864) 676-9211
(864) 676-9432

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13413
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13413
SC MEDICAL LIC #
SC
Enumeration date
06/02/2006
Last updated
10/16/2007
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