NPI 1114601218
Tim W Smith
Practice location
- Address
- 190 Independence Dr, Roebuck, SC 29376-3335
- Phone
- (812) 457-5367
- Mailing address
- 933 Pine Log Rd # 1068, Aiken, SC 29803-7330
Registered specialties
Nurse's Aide
Primary
Registry record
- NPI
- 1114601218
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Jun 2023
- Record last updated
- 6 Feb 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.