Provider Demographics
NPI:1881372399
Name:SMITH, NEDA (FDN-P)
Entity type:Individual
Prefix:
First Name:NEDA
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:FDN-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 BOWMAN RD STE 101
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3218
Mailing Address - Country:US
Mailing Address - Phone:843-242-0646
Mailing Address - Fax:
Practice Address - Street 1:900 BOWMAN RD STE 101
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3218
Practice Address - Country:US
Practice Address - Phone:843-242-0646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach