person
Theodore Ravenel Smith, MD
Family Medicine Physician in Spartanburg, South Carolina
NPI 1275587982

Theodore Ravenel Smith is a Family Medicine Physician based in Atlanta, SC. Theodore Ravenel Smith practices in Spartanburg, SC and has the professional credentials of MD. The NPI Number for Theodore Ravenel Smith is 1275587982 and holds a License No. 7493 (South Carolina).

The current practice location address for Theodore Ravenel Smith is 1690 Skylyn Dr Ste 210, Spartanburg, SC and can be reached out via phone at 864-253-8170 and via fax at 864-585-7787.

Location: 1690 Skylyn Dr Ste 210, Spartanburg, SC, 30374-3070
person
Provider Profile Details
NPI Number
1275587982
Provider Name
Theodore Ravenel Smith
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1690 Skylyn Dr Ste 210, Spartanburg, SC, 30374-3070
Phone Number
864-253-8170
Fax Number
864-585-7787
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SCE4946067 01 SC MEDICARE PIN
P00386787 01 GA MEDICARE RAILROAD PTAN#
074939 05 SC
SCE4946084 01 SC MEDICARE PIN
SCE494J577 01 SC MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
1690 Skylyn Dr Ste 210
City
State
Zip
29307-1075
Phone Number
864-253-8170
Fax Number
864-585-7787
person
Provider Business Mailing Address Details
Address
1690 Skylyn Dr Ste 210
City
State
Zip
29307-1075
Phone Number
864-253-8170
Fax Number
864-585-7787
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
7493 (South Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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