IndividualActive
John Smith
NPI 1073387221 · Religious Nonmedical Practitioner · Pendleton, SC
Provider details
- NPI number
- 1073387221
- Entity type
- Individual
- Primary specialty
- Religious Nonmedical PractitionerNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1401 Autun Rd
Pendleton, SC 29670-9115
Phone: (864) 337-8023
Approximate (ZIP-level) locationGet directions
Mailing address
1401 Autun Rd
Pendleton, SC 29670-9115
Registry dates
- Enumerated
- 2023-11-08
- Last updated
- 2023-11-08
- Certified
- 2023-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.