Smith, Gregory Wayne

Smith, Gregory Wayne is an individual health care provider with primary practice located at 121 Park Central Dr Suite 200, Columbia SC 29203-6469. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Smith, Gregory Wayne can be contacted via phone (803) 252-9907.

Contact Information

Primary practice address
121 Park Central Dr Suite 200 Columbia SC 29203-6469
Fax: (803) 252-9906
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 30652 South Carolina

Profile Details

NPI number 1457565913
LBN Legal business name Smith, Gregory Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Aug 31st, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1457565913 NPPES
South Carolina MEDICAID 35392

Popular Providers