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1275587982
THEODORE RAVENEL SMITH
SPARTANBURG, SC
NPI
1275587982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 7493)
Enumeration Date
2006-05-19
Last Update Date
2020-11-05
Business Address
THEODORE RAVENEL SMITH MD
1690 SKYLYN DR STE 210
SPARTANBURG, SC 29307-1075
Phone number: 864-253-8170
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Mailing Address
THEODORE RAVENEL SMITH MD
PO BOX 743070
ATLANTA, GA 30374-3070
Phone number: 864-560-4304
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