Individual
ROBERT MATTHEW CARLILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5500 FRONT ST, SUITE 230, SUMMERVILLE, SC 29486-7722
(843) 569-1856
(843) 569-1879
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5879
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
39441
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
394415
—
SC
01
—
P01728364
RAIL ROAD MEDICARE
SC
Enumeration date
06/12/2011
Last updated
07/06/2021
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