MRS. Mallory Smith, NP
NPI #1003533357 in Shaw Afb, South Carolina
Provider Information
- NPI Number
- 1003533357
- Entity Type
- Individual
- Name
- MRS. Mallory Smith, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Primary Care
- Credential
- NP
- Enumeration Date
- Oct 26, 2022
- Last Updated
- Sep 19, 2025
Practice Location
- Address
- 420 POLIFKA DR
- City
- Shaw Afb
- State
- South Carolina
- ZIP Code
- 29152-5100
- Phone
- (803) 895-2273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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