Tarbert-Smaldone, Lisa S

Tarbert-Smaldone, Lisa S is an sole proprietor health care provider with primary practice located at 820 67Th Ave N #70692, Myrtle Beach SC 29572-2957. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Tarbert-Smaldone, Lisa S can be contacted via phone (843) 796-3823.

Contact Information

Primary practice address
820 67Th Ave N #70692 Myrtle Beach SC 29572-2957
Phone: (843) 796-3823
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 26891 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 26891 South Carolina

Profile Details

NPI number 1891794236
LBN Legal business name Tarbert-Smaldone, Lisa S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2005
Last updated Apr 6th, 2018 - about 6 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 1891794236 NPPES
South Carolina MEDICAID 268917

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