Individual
LEALIA SMALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
148 RIVENDELL DR, LEXINGTON, SC 29073-6917
(803) 318-6501
Mailing address
148 RIVENDELL DR, LEXINGTON, SC 29073-6917
(803) 318-6501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
219024
SC
163W00000X
Registered Nurse
Primary
RN235247
GA
Other
Enumeration date
01/14/2014
Last updated
08/14/2014
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