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
Phone: (864) 725-4865
Fax: (864) 725-4883
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326067034 | NPPES |
| South Carolina | MEDICAID | 109260 |
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