| Marlo Monique Smith, MD | |
|
1320 Ribaut Rd, Port Royal, SC 29935-1118 | |
| (843) 986-0900 | |
| (843) 322-1875 |
| Full Name | Marlo Monique Smith |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1320 Ribaut Rd, Port Royal, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790757359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 19944 (South Carolina) | Primary |
| Entity Name | University Medical Associates Of The Medical University Of South Carol |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
| Entity Name | Beaufort Jasper Hampton Comprehensive Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649276148 PECOS PAC ID: 5597675728 Enrollment ID: O20160427001262 |
| Mailing Address | Practice Location Address |
|---|---|
| Marlo Monique Smith, MD 1320 Ribaut Rd, Port Royal, SC 29935-1118 Ph: (843) 986-0900 | Marlo Monique Smith, MD 1320 Ribaut Rd, Port Royal, SC 29935-1118 Ph: (843) 986-0900 |
Faith Lawrence Polkey, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 1320 Ribaut Rd, Port Royal, SC 29935 Phone: 843-986-0900 Fax: 843-322-1875 | |
Dr. Ugochi Cantave, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1875 N Paris Ave, Port Royal, SC 29935 Phone: 843-522-3870 Fax: 843-522-0691 |