Individual
MRS. COURTNEY JEANETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
164 WACCAMAW MEDICAL PARK DR., CONWAY, SC 29526
(843) 347-5060
Mailing address
821 SPYDERCO RD., CONWAY, SC 29527-2900
(843) 655-1332
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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