Individual
MICHELLE INGRAM-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10827
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376916759
DORN VAMC
SC
Enumeration date
10/21/2016
Last updated
10/21/2016
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