Ashley Elizabeth Tanner Smithson, | |
611 26th Ave S, North Myrtle Beach, SC 29582-4449 | |
(843) 455-7949 | |
Not Available |
Full Name | Ashley Elizabeth Tanner Smithson |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 611 26th Ave S, North Myrtle Beach, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588303135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 3997 (South Carolina) | Primary |
Provider Name | Elite Hand And Upper Extremity Therapy |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467086926 PECOS PAC ID: 3678904620 Enrollment ID: O20200529002614 |
Mailing Address | Practice Location Address |
---|---|
Ashley Elizabeth Tanner Smithson, 611 26th Ave S, North Myrtle Beach, SC 29582-4449 Ph: (843) 455-7949 | Ashley Elizabeth Tanner Smithson, 611 26th Ave S, North Myrtle Beach, SC 29582-4449 Ph: (843) 455-7949 |
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