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1811769599
TY SMITH
COLUMBIA, SC
NPI
1811769599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 5123)
Enumeration Date
2023-10-25
Last Update Date
2024-08-29
Business Address
TY SMITH PA
8 RICHLAND MEDICAL PARK DR STE 400
COLUMBIA, SC 29203-8004
Phone number: 803-765-0871
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Mailing Address
TY SMITH PA
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-695-6697
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