Individual
TAMMY L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3236 LANDMARK DR STE 105, NORTH CHARLESTON, SC 29418-8490
(843) 371-4728
(843) 793-3621
Mailing address
3236 LANDMARK DR STE 105, NORTH CHARLESTON, SC 29418-8490
(843) 371-4728
(843) 793-3621
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
50278
SC
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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