Pendleton Family Practice, LLC
NPI #1790705259 in Pendleton, South Carolina
Provider Information
- NPI Number
- 1790705259
- Entity Type
- Organization
- Organization Name
- Pendleton Family Practice, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 20, 2006
- Last Updated
- Aug 7, 2007
Practice Location
- Address
- 101 SHIRLEY ST
- City
- Pendleton
- State
- South Carolina
- ZIP Code
- 29670-1824
- Phone
- (864) 646-7522
Authorized Official
- Name
- STACY LEE SMITH, M.D.
- Title
- OWNER/PHYSICIAN
- Phone
- (864) 646-7522
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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