Whalio Doctors

NPI 1194737122

Larry C Smith, MD

Practitioner Pediatrics Physician West Columbia, SC

Practice location

Address
172 McSwain Drive Suite a, West Columbia, SC 29169
Phone
(800) 809-1265
Fax
(803) 771-7782
Mailing address
4058 Sandwood Dr, Columbia, SC 29206-2222

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 18842 (SC)

Registry record

NPI
1194737122
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Aug 2006
Record last updated
8 Jul 2007

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.