James Oliver Smith was 26 when he vanished from Mullins, South Carolina, in late summer 2003. His last confirmed sighting was at about 7:00 a.m. at the Marion County Medical Center area near the 2800 block of East Highway 76. Beyond that morning, the circumstances of why he was at the facility and what happened afterward are unclear.

Described as a white male with brown hair and brown eyes, James stood 6 feet 2 inches and weighed about 170 pounds. No clothing description from the time he went missing is available, and investigators have reported few leads. The case remains an open missing-person file and is considered cold.

If anyone remembers seeing James that morning in Mullins or has information about his movements before or after the Marion County Medical Center sighting, please come forward.