Smith, Cheryl A

Smith, Cheryl A is an sole proprietor health care provider with primary practice located at 406 Robertson Blvd , Walterboro SC 29488-2756. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Smith, Cheryl A can be contacted via phone (843) 782-5437.

Contact Information

Primary practice address
406 Robertson Blvd Walterboro SC 29488-2756
Fax: (843) 782-4269
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25971 South Carolina

Profile Details

NPI number 1063406809
LBN Legal business name Smith, Cheryl A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2005
Last updated Apr 12th, 2012 - about 13 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 1063406809 NPPES
South Carolina MEDICAID 259712

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