Smith, Larry C

Smith, Larry C is an sole proprietor health care provider with primary practice located at 172 Mcswain Drive Suite A, West Columbia SC 29169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Smith, Larry C can be contacted via phone (800) 809-1265.

Contact Information

Primary practice address
172 Mcswain Drive Suite A West Columbia SC 29169
Phone: (800) 809-1265
Fax: (803) 771-7782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 18842 South Carolina

Profile Details

NPI number 1194737122
LBN Legal business name Smith, Larry C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2006
Last updated Jul 8th, 2007 - about 19 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 1194737122 NPPES
South Carolina MEDICAID T27824

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