Organization
ROBERT L SMOAK
Active
Other names
Robert L Smoak MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L SMOAK MD (OWNER DIRECTOR)
(803) 534-4254
Entity
Organization
Contact information
Practice address
1739 VILLAGE PARK DR, ORANGEBURG, SC 29118-2475
(803) 534-4254
(803) 531-8810
Mailing address
PO BOX 2609, ORANGEBURG, SC 29116-2609
(803) 534-4254
(803) 531-8810
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC138
—
SC
Enumeration date
11/17/2006
Last updated
08/22/2020
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