Marlo Monique Smith, MD | |
1320 Ribaut Rd, Port Royal, SC 29935-1118 | |
(843) 986-0900 | |
(843) 322-1875 |
Full Name | Marlo Monique Smith |
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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 | Acs Emergency Physicians Of Sc Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124355375 PECOS PAC ID: 0648311506 Enrollment ID: O20100114000254 |
Entity Name | Beaufort Jasper Hampton Comprehensive Health Services Inc |
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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 |
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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 |