# SUMTER EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285679290
- **Authorized official:** DAVID BRIAN LOVICE MD (OWNER/PARTNER)
- **Authorized official phone:** (803) 778-5970

## Contact information

- **Practice address:** 100 N SUMTER ST, SUITE 400, SUMTER, SC 29150-4916
- **Practice address phone:** (803) 778-5970
- **Practice address fax:** (803) 778-5403
- **Mailing address:** 100 N SUMTER ST, SUITE 400, SUMTER, SC 29150-4916
- **Mailing address phone:** (803) 778-5970
- **Mailing address fax:** (803) 778-5403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP2894 | — | SC |