Individual
DR. DAHLMON L. SMOAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2145 HENRY TECKLENBURG DR, SUITE 270, CHARLESTON, SC 29414-5893
(843) 577-0220
(843) 577-4193
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5727
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057272
—
SC
01
—
P00648642
RAILROAD MEDICARE ID
SC
01
—
P00811378
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
08/24/2006
Last updated
05/04/2010
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