Between the Lakes Family Practice, PA
NPI #1356312995 in Seneca, South Carolina
Provider Information
- NPI Number
- 1356312995
- Entity Type
- Organization
- Organization Name
- Between the Lakes Family Practice, PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 31, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 106 RAM CAT ALY
- City
- Seneca
- State
- South Carolina
- ZIP Code
- 29678-3244
- Phone
- (864) 888-4445
Authorized Official
- Name
- DANIEL MOUZON SMITH JR., M.D.
- Title
- PRESIDENT
- Phone
- (864) 888-4445
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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