Individual
ROBERT LEE STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 350, COLUMBIA, SC 29203-6896
(803) 434-1663
(803) 434-2894
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
82540
SC
207P00000X
Emergency Medicine Physician
LL82540
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
825405
—
SC
Enumeration date
05/28/2019
Last updated
06/23/2022
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