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NPI Code Detail

MEDICARE: ERIC SMITH CASAC-2

MEDICARE: ERIC SMITH CASAC-2
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
1101YA0400XAddiction (Substance Use Disorder) Counselor26540NY

General Provider Information

NPI Number : 1962894535
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC SMITH CASAC-2
Provider Business Mailing Address
First Line : 755 ELECTRIC DR
Second Line :
City : SUMTER
State : SC
Zip : 29153-1933
Country : US
Telephone Number : 803-905-8470
Fax Number : 803-905-5171
Provider Business Practice Location Address
First Line : 755 ELECTRIC DR
Second Line :
City : SUMTER
State : SC
Zip : 29153-1933
Country : US
Telephone Number : 803-905-8470
Fax Number : 803-905-5171
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2015
Last Update Date : 09/30/2024

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Directions to “ ERIC SMITH CASAC-2” Practice Location

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