Individual
LISA S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2085 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7710
(843) 577-6957
(843) 577-6523
Mailing address
PO BOX 751874, CHARLOTTE, NC 28275-1874
(843) 402-5200
(843) 402-5296
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
696
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0147
—
SC
Enumeration date
05/01/2006
Last updated
09/30/2025
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