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NPI Code Detail

MEDICARE: DR. ROBERT LEE SMITH MD

MEDICARE: DR. ROBERT LEE SMITH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician14858NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932102407
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT LEE SMITH MD
Provider Business Mailing Address
First Line : PO BOX 21156
Second Line :
City : ROANOKE
State : VA
Zip : 24018-0117
Country : US
Telephone Number : 540-767-2700
Fax Number : 540-767-2708
Provider Business Practice Location Address
First Line : 830 ROCKFORD ST
Second Line :
City : MOUNT AIRY
State : NC
Zip : 27030-5322
Country : US
Telephone Number : 336-719-7124
Fax Number : 336-719-7457
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 07/08/2007

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