| Suntia Smith Llc | |
|
3445 Pelham Rd Ste B Greenville SC 29615-4194 | |
| (864) 559-8581 | |
| (864) 751-9331 |
| Full Name | Suntia Smith Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3445 Pelham Rd Ste B, Greenville, South Carolina |
| Authorized Official Name and Position | Suntia Smith (OWNER) |
| Authorized Official Contact | 8644443057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suntia Smith Llc 3445 Pelham Rd Ste B Greenville SC 29615-4194 Ph: (864) 559-8581 | Suntia Smith Llc 3445 Pelham Rd Ste B Greenville SC 29615-4194 Ph: (864) 559-8581 |
| NPI Number | 1649654997 |
|---|---|
| Provider Enumeration Date | 07/16/2015 |
| Last Update Date | 10/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649654997 | NPI | - | NPPES |
| SW1217 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9166 (South Carolina) | Primary |
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