| 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  |