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NPI Code Detail

MEDICARE: DR. STEPHEN JAMES SMITH MD

MEDICARE: DR. STEPHEN JAMES SMITH MD
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
1208600000XSurgery Physician112050GA
2208600000XSurgery PhysicianLL85906SC

General Provider Information

NPI Number : 1699352195
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN JAMES SMITH MD
Provider Business Mailing Address
First Line : 101 E WOOD ST
Second Line :
City : SPARTANBURG
State : SC
Zip : 29303-3040
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 E WOOD ST
Second Line :
City : SPARTANBURG
State : SC
Zip : 29303-3040
Country : US
Telephone Number : 864-560-6750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2021
Last Update Date : 05/21/2026

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