Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 32970MD | SC |
N | 111NI0900X | Internist | 32970MD | SC |
N | 207R00000X | Internist | LL32970 | SC |
N | 111NI0900X | Internist | LL32970 | SC |
Y | 207RH0002X | Hospice and Palliative Medicine | 32970 | SC |
N | 207RH0002X | Hospice and Palliative Medicine | ME122766 | FL |
NPI | 1023329794 |
---|---|
Provider Name | Joshua Everett Smith |
First Address | Greenville, SC 29615-4536 |
Second Address | Tampa, FL 33612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2010 |
Last Update Date | 10/07/2018 |