Individual
CHATONIA SMALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
737 S MAIN ST, SOCIETY HILL, SC 29593-8972
(843) 378-4501
Mailing address
PO BOX 1090, HARTSVILLE, SC 29551-1090
(843) 857-0111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10380-CP
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q68265
MEDICARE
SC
05
—
SW1705
—
SC
Enumeration date
03/31/2020
Last updated
03/09/2023
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