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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THEISHA MARIE SMITH

Active Sole Proprietor

THEISHA MARIE SMITH is a Clinical Medical Laboratory healthcare provider located in INDIAN LAND, South Carolina. NPI 1770472623 is currently active in the NPPES registry. Verify at CMS.

Clinical Medical Laboratory · INDIAN LAND, SC

Registration Details

NPI Number
1770472623
Provider Type
Individual
Gender
Female
NPI Issued
Jul 2, 2025 (1.1467331181686 yrs)
Last Updated
Jul 2, 2025
Sole Proprietor
Yes

Practice Information

Address
6080 MASON CREEK CIR UNIT 204
INDIAN LAND, SC, 297077921
Browse SC providers · Browse ZIP 29707
Phone
7049411778
Primary Specialty
Clinical Medical Laboratory
291U00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.