Healthcare Provider Details

I. General information

NPI: 1033023148
Provider Name (Legal Business Name): CATHERINE SMITH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

298 MEMORIAL DR
SENECA SC
29672-9443
US

IV. Provider business mailing address

805 JONES MILL RD
CENTRAL SC
29630-9524
US

V. Phone/Fax

Practice location:
  • Phone: 864-482-3500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number228998
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: