Provider Demographics
NPI:1184424392
Name:SMITH, JOANNA J
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:J
Last Name:SMITH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 WARLICK MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:CLOVER
Mailing Address - State:SC
Mailing Address - Zip Code:29710-6073
Mailing Address - Country:US
Mailing Address - Phone:520-704-3179
Mailing Address - Fax:
Practice Address - Street 1:515 WARLICK MEADOW CT
Practice Address - Street 2:
Practice Address - City:CLOVER
Practice Address - State:SC
Practice Address - Zip Code:29710-6073
Practice Address - Country:US
Practice Address - Phone:520-704-3179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter
No171W00000XOther Service ProvidersContractor