Smith, Robert Lee

Smith, Robert Lee is an sole proprietor health care provider with primary practice located at 830 Rockford St , Mount Airy NC 27030-5322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Smith, Robert Lee can be contacted via phone (336) 719-7124.

Contact Information

Primary practice address
830 Rockford St Mount Airy NC 27030-5322
Fax: (336) 719-7457
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 14858 North Carolina

Profile Details

NPI number 1932102407
LBN Legal business name Smith, Robert Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932102407 NPPES
North Carolina MEDICAID 8910054

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