NICKOLAS GRANT SMITH

SENECA, SC
NPI1710517370
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  23620)
Enumeration Date2020-01-23
Last Update Date2024-03-04
Business Address
NICKOLAS GRANT SMITH
390 KEOWEE SCHOOL RD
SENECA, SC 29672-6780
Phone number: 864-885-7129
Mailing Address
NICKOLAS GRANT SMITH
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603