Individual
ROBERT MORRIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
805 MONTAGUE AVE STE A, GREENWOOD, SC 29649-1464
(864) 223-6621
(642) 236-6659
Mailing address
25 AIRPARK CT, GREENVILLE, SC 29607-6188
(864) 312-6930
(864) 546-4506
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21784
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113663598
USED BY COMMERCIAL INS CO
SC
05
—
217848
—
SC
Enumeration date
05/23/2005
Last updated
06/15/2020
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