Smith, Suzanne J

Smith, Suzanne J is an individual health care provider with primary practice located at 109 Midlands Ct Ste A , West Columbia SC 29169-3456. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Smith, Suzanne J can be contacted via phone (803) 457-7000.

Contact Information

Primary practice address
109 Midlands Ct Ste A West Columbia SC 29169-3456
Phone: (803) 457-7000
Fax: (803) 457-7001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1614 South Carolina

Profile Details

NPI number 1760582621
LBN Legal business name Smith, Suzanne J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Nov 2nd, 2017 - about 7 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 1760582621 NPPES
South Carolina MEDICAID 1205PA

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