Provider Demographics
NPI:1801903588
Name:SMITH, JAMES D (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:D
Last Name:SMITH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:408 E DEKALB ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:CAMDEN
Mailing Address - State:SC
Mailing Address - Zip Code:29020-4429
Mailing Address - Country:US
Mailing Address - Phone:803-272-0990
Mailing Address - Fax:803-272-0991
Practice Address - Street 1:408 E DEKALB ST
Practice Address - Street 2:SUITE D
Practice Address - City:CAMDEN
Practice Address - State:SC
Practice Address - Zip Code:29020-4429
Practice Address - Country:US
Practice Address - Phone:803-272-0990
Practice Address - Fax:803-272-0991
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007947L111N00000X
SC3589111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor