Theodore Ravenel Smith, MD | |
1690 Skylyn Dr Ste 210, Spartanburg, SC 29307-1075 | |
(864) 253-8170 | |
(864) 585-7787 |
Full Name | Theodore Ravenel Smith |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1690 Skylyn Dr Ste 210, Spartanburg, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275587982 | NPI | - | NPPES |
SCE4946067 | Other | SC | MEDICARE PIN |
P00386787 | Other | GA | MEDICARE RAILROAD PTAN# |
074939 | Medicaid | SC | |
SCE4946084 | Other | SC | MEDICARE PIN |
SCE494J577 | Other | SC | MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 7493 (South Carolina) | Primary |
Mailing Address | Practice Location Address |
---|---|
Theodore Ravenel Smith, MD Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304 | Theodore Ravenel Smith, MD 1690 Skylyn Dr Ste 210, Spartanburg, SC 29307-1075 Ph: (864) 253-8170 |
Jordan Ashley Grice, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 College St, Spartanburg, SC 29303 Phone: 864-582-2411 Fax: 864-594-0040 | |
Lee B Taylor Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3021 Reidville Rd, Spartanburg, SC 29301 Phone: 864-576-9201 Fax: 864-576-6584 | |
James Spearman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 853 N Church St, Spartanburg, SC 29303 Phone: 864-560-6193 | |
Eric L. Cole, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1690 Skylyn Dr Ste 300a, Spartanburg, SC 29307 Phone: 864-342-4000 Fax: 864-596-7409 | |
James Jeffrey Morrison, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 218 E Blackstock Rd, Spartanburg, SC 29301 Phone: 864-576-8646 Fax: 864-576-8932 | |
Gayatri Sarangdhar Surwade, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 853 N Church St, Suite 510, Spartanburg, SC 29303 Phone: 864-560-7001 | |
Sean Mellon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St Ste 401, Spartanburg, SC 29303 Phone: 864-560-6000 |