Healthcare Provider Details
I. General information
NPI: 1790944163
Provider Name (Legal Business Name): ROBERT GLEN BEST PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/02/2008
Last Update Date: 06/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2 MEDICAL PARK RD SUITE 208
COLUMBIA SC
29203-6808
US
IV. Provider business mailing address
2 MEDICAL PARK RD SUITE 208
COLUMBIA SC
29203-6808
US
V. Phone/Fax
- Phone: 803-779-4928
- Fax: 803-434-6852
- Phone: 803-779-4928
- Fax: 803-434-6852
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 170100000X |
| Taxonomy | Ph.D. Medical Genetics |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: