| Doctor Name: | MR. ROBERT SCOTT SMITH |
| NPI Number: | 1003117680 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP-C |
| License Number: | RN-140291 |
| Business Practice Address: | 1120 15th St Augusta, GA - 309120004 |
| Business Phone Number: | 7067218549 |
| Business Fax Number: | |
| Mailing Address: | 1499 Walton Way, Suite 1400 AUGUSTA |
| State: | GA |
| Postal Code: | 309012602 |
| Phone Number: | 7067246100 |
| Fax Number: | |
| NPI Enumeration Date: | 11/12/2010 |
| NPI Last Update Date: | 11/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN-140291 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |