JUSTIN SMITH

CONWAY, SC
NPI1598015828
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MD  R157238)
Enumeration Date2012-09-13
Last Update Date2020-07-23
Business Address
JUSTIN SMITH CRNP
1113 CHURCH ST
CONWAY, SC 29526-4128
Phone number: 843-248-6269
Mailing Address
JUSTIN SMITH CRNP
2001 MEDICAL PARKWAY
ANNAPOLIS, MD 21401
Phone number: 443-481-1366
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