Smith, Ian

Smith, Ian is an individual health care provider with primary practice located at 1 Wellness Blvd Ste 109 , Irmo SC 29063-2872. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Smith, Ian can be contacted via phone (803) 749-1111.

Contact Information

Primary practice address
1 Wellness Blvd Ste 109 Irmo SC 29063-2872
Phone: (803) 749-1111
Fax: (803) 749-0050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 20028 South Carolina

Profile Details

NPI number 1306869060
LBN Legal business name Smith, Ian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated May 5th, 2024 - about last year

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 1306869060 NPPES
South Carolina Other 20028 SC MEDICAL LICENSE
South Carolina MEDICAID GP0749 SC MEDICAL LICENSE

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