Smith, Scott William
Smith, Scott William is an individual health care provider with primary practice located at 990 Lake Hunter Cir Ste 101 , Mount Pleasant SC 29464-5426. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Smith, Scott William can be contacted via phone (843) 972-8136.Contact Information
Primary practice address
990 Lake Hunter Cir Ste 101
Mount Pleasant SC 29464-5426
Phone: (843) 972-8136
Fax: (843) 972-8163
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 16211 | South Carolina |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 16211 | South Carolina |
Profile Details
NPI number | 1972550283 |
---|---|
LBN Legal business name | Smith, Scott William |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 30th, 2006 |
Last updated | Jan 23rd, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972550283 | NPPES |
South Carolina | MEDICAID | L13082 |
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