IndividualActive
Charlie Smith, MD
NPI 1003874892 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Lake City, SC
Provider details
- NPI number
- 1003874892
- Entity type
- Individual
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2023-01615 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2322 Burnt Branch Rd
Lake City, SC 29560-7910
Phone: (843) 687-0153
Fax: (843) 673-9457
Approximate (ZIP-level) locationGet directions
Mailing address
2322 Burnt Branch Rd
Lake City, SC 29560-7910
Registry dates
- Enumerated
- 2006-05-02
- Last updated
- 2025-12-15
- Certified
- 2025-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.