Individual
ANDREW PAYNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
200 PATEWOOD DR STE A320, GREENVILLE, SC 29615-6336
(864) 454-5100
(864) 241-9238
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
19091
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2964
—
SC
Enumeration date
09/24/2014
Last updated
06/07/2021
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