Smith, Frederic A
Smith, Frederic A is an individual health care provider with primary practice located at 7182 Woodrow St Ste 200 , Irmo SC 29063-2832. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Smith, Frederic A can be contacted via phone (803) 749-1111.Contact Information
Primary practice address
7182 Woodrow St Ste 200
Irmo SC 29063-2832
Phone: (803) 749-1111
Fax: (803) 749-0050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 16739 | South Carolina |
Profile Details
| NPI number | 1528029287 |
|---|---|
| LBN Legal business name | Smith, Frederic A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Sep 22nd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528029287 | NPPES |
| South Carolina | MEDICAID | 167394 |
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