Individual
AMBER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 HERGETT DR, COLUMBIA, SC 29203-5967
(803) 665-6500
Mailing address
1615 HERGETT DR, COLUMBIA, SC 29203-5967
(803) 665-6500
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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