Individual
DR. KEYOKA SHEREE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
4100 N MAIN ST STE 202, COLUMBIA, SC 29203-5800
(803) 570-2209
(888) 866-4740
Mailing address
10 SUMMERLEA LN, COLUMBIA, SC 29203-3915
(843) 409-3201
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
622
SC
213ES0103X
Foot & Ankle Surgery Podiatrist
65 006369
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
POD001211
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PD6229
—
SC
Enumeration date
06/24/2010
Last updated
09/01/2020
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