# ANESTHESIA SC LLC

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

## Provider details

- **NPI number:** 1295271948
- **Authorized official:** RYAN WESLEY SMITH (MEMBER MANAGER)
- **Authorized official phone:** (843) 504-7194

## Contact information

- **Practice address:** 101 SURGEONS DR, MYRTLE BEACH, SC 29579-5198
- **Practice address phone:** (843) 504-7194
- **Mailing address:** PO BOX 1427, COLUMBIA, SC 29202-1427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2017
- **Last updated:** 10/06/2019