person
Nickolas Grant Smith
Family Nurse Practitioner in Seneca, South Carolina
NPI 1710517370

Nickolas Grant Smith is a Family Nurse Practitioner based in Greenville, SC and is specialized in Family. Nickolas Grant Smith practices in Seneca, SC. The NPI Number for Nickolas Grant Smith is 1710517370 and holds a License No. 23620 (South Carolina).

The current practice location address for Nickolas Grant Smith is 390 Keowee School Rd, Seneca, SC and can be reached out via phone at 864-885-7129 and via fax at 864-882-7240.

Location: 390 Keowee School Rd, Seneca, SC, 29601-2842
person
Provider Profile Details
NPI Number
1710517370
Provider Name
Nickolas Grant Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
390 Keowee School Rd, Seneca, SC, 29601-2842
Phone Number
864-885-7129
Fax Number
864-882-7240
Provider Enumeration Date
01/23/2020
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP7229 05 SC
institution
Provider Business Practice Location Address Details
Address
390 Keowee School Rd
City
State
Zip
29672-6780
Phone Number
864-885-7129
Fax Number
864-882-7240
person
Provider Business Mailing Address Details
Address
390 Keowee School Rd
City
State
Zip
29672-6780
Phone Number
864-885-7129
Fax Number
864-882-7240
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
23620 (South Carolina)
Definition
Definition to come...
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