Individual
DR. JEREMIAH DUANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-7899
(864) 455-5474
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
V6101
TX
208000000X
Pediatrics Physician
01068533A
IN
208000000X
Pediatrics Physician
39280
SC
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
39280
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200996300
—
IN
05
—
392809
—
SC
Enumeration date
06/03/2008
Last updated
02/11/2025
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