Smith, Horace Gratin

Smith, Horace Gratin is an individual health care provider with primary practice located at 155 Academy Ave , Greenwood SC 29646-3869. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Smith, Horace Gratin can be contacted via phone (864) 725-4865.

Contact Information

Primary practice address
155 Academy Ave Greenwood SC 29646-3869
Fax: (864) 725-4883
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 010926 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 10926 South Carolina

Profile Details

NPI number 1326067034
LBN Legal business name Smith, Horace Gratin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Mar 11th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326067034 NPPES
South Carolina MEDICAID 109260

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