Search › South Carolina › 101YA0400X
Larry Smith
NPI 1235474909 · on the registry since 2012
Practice
- Address
- 164 Waccamaw Medical Park Dr
Conway, SC 29526 - Phone
- (843) 347-4888
- Fax
- (843) 347-3959
- Organisation at this address
- Little River Medical Center, Inc.
Waccamaw Center For Mental Health
South Carolina Dept Of Mental Health Accounting OfficeInferred from a shared address, not stated in the registry. - Clinicians at this address
- 315
Additional practice sites
- 2031 Mlk Jr Dr, Greensboro, NC
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YM0800X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina