Individual
MRS. SAMURDHI JAYAWEERA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
501 CARNES CROSSING BLVD STE B, SUMMERVILLE, SC 29486-0407
(843) 212-8080
(843) 203-2299
Mailing address
PO BOX 632516, CINCINNATI, OH 45263-2516
(888) 472-0043
(513) 653-4122
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3822
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4854PA
—
SC
Enumeration date
02/23/2010
Last updated
07/13/2026
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