Individual
ROBERT JAMES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
101 BRIGHTWATER DR, MYRTLE BEACH, SC 29579-8275
(203) 906-6799
Mailing address
342 HILLWOOD CT, LONGS, SC 29568-6769
(854) 901-0433
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003476
NY
363A00000X
Physician Assistant
Primary
4504
SC
Other
Enumeration date
10/03/2006
Last updated
12/28/2022
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