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1598015828
JUSTIN SMITH
CONWAY, SC
NPI
1598015828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R157238)
Enumeration Date
2012-09-13
Last Update Date
2020-07-23
Business Address
JUSTIN SMITH CRNP
1113 CHURCH ST
CONWAY, SC 29526-4128
Phone number: 843-248-6269
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Mailing Address
JUSTIN SMITH CRNP
2001 MEDICAL PARKWAY
ANNAPOLIS, MD 21401
Phone number: 443-481-1366
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