Individual
MARLO MONIQUE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1320 RIBAUT RD, PORT ROYAL, SC 29935-1118
(843) 986-0900
(843) 322-1875
Mailing address
1320 RIBAUT RD, PORT ROYAL, SC 29935-1118
(843) 986-0900
(843) 322-1875
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19944
SC
Other
Enumeration date
02/07/2006
Last updated
03/11/2020
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