# DR. DEVIN ANTONOVICH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1770036410
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 39925 | SC | — |
| 207L00000X | Anesthesiology Physician | MMD.39925.LL | SC | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 39925 | SC | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 39925 | SC | — |

## Other

- **Enumeration date:** 07/29/2016
- **Last updated:** 04/10/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 399251 | — | SC |