| Organization Name: | SMITH MEDICAL CLINIC |
| NPI Number: | 1043684632 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANNE FAUL (EXECUTIVE DIRECTOR) |
| Mailing Address: | 116 Baskervill Dr Pawleys Island |
| State: | SC US |
| Postal Code: | 295856185 |
| Phone Number: | 8432372672 |
| Fax Number: | 8432370369 |
| NPI Enumeration Date: | 11/19/2015 |
| NPI Last Update Date: | 11/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | MD22103 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |