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NPI Code Detail

MEDICARE: APRIL NICOLE SMITH DO

MEDICARE: APRIL NICOLE SMITH DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207Q00000XFamily Medicine Physician89724SC
3207Q00000XFamily Medicine PhysicianMDO.89724SC

General Provider Information

NPI Number : 1174100762
Entity Type Code : Individual
Provider Name (Legal Business Name) : APRIL NICOLE SMITH DO
Provider Business Mailing Address
First Line : 207 HOLIDAY RD # B
Second Line :
City : MC CORMICK
State : SC
Zip : 29835-3430
Country : US
Telephone Number : 864-391-5011
Fax Number :
Provider Business Practice Location Address
First Line : 207 HOLIDAY RD # B
Second Line :
City : MC CORMICK
State : SC
Zip : 29835-3430
Country : US
Telephone Number : 864-391-5011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2021
Last Update Date : 07/18/2024

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Directions to “ APRIL NICOLE SMITH DO” Practice Location

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