| Robert L Smoak, Md | |
|
1739 Village Park Dr Orangeburg SC 29118-2475 | |
| (803) 534-4254 | |
| (803) 531-8810 |
| Full Name | Robert L Smoak, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 1739 Village Park Dr, Orangeburg, South Carolina |
| Authorized Official Name and Position | Robert L Smoak (OWNER) |
| Authorized Official Contact | 8035344254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert L Smoak, Md Po Box 2609 Orangeburg SC 29116-2609 Ph: (803) 534-4254 | Robert L Smoak, Md 1739 Village Park Dr Orangeburg SC 29118-2475 Ph: (803) 534-4254 |
| NPI Number | 1669437430 |
|---|---|
| Provider Enumeration Date | 04/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669437430 | NPI | - | NPPES |
| GP2100 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10545 (South Carolina) | Primary |
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