THEODORE RAVENEL SMITH

SPARTANBURG, SC
NPI1275587982
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  7493)
Enumeration Date2006-05-19
Last Update Date2020-11-05
Business Address
THEODORE RAVENEL SMITH MD
1690 SKYLYN DR STE 210
SPARTANBURG, SC 29307-1075
Phone number: 864-253-8170
Mailing Address
THEODORE RAVENEL SMITH MD
PO BOX 743070
ATLANTA, GA 30374-3070
Phone number: 864-560-4304