Individual
MS. SUSAN MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 EAGLE LN, SALEM, SC 29676-3337
(864) 886-4545
(864) 886-4541
Mailing address
104 LAUREL LN, SENECA, SC 29678-2705
(864) 886-4545
(864) 886-4541
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
107226
SC
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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