Smith, Erin Renee

Smith, Erin Renee is an individual health care provider with primary practice located at 1147 Ebenezer Rd , Rock Hill SC 29732-2355. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Erin Renee can be contacted via phone (803) 329-6648.

Contact Information

Primary practice address
1147 Ebenezer Rd Rock Hill SC 29732-2355
Fax: (803) 985-4134
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 80869 South Carolina

Profile Details

NPI number 1255333779
LBN Legal business name Smith, Erin Renee
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jun 27th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255333779 NPPES
South Carolina MEDICAID GP2323
South Carolina MEDICAID NP0541

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