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Individual

DAVID J REMIGIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
29 PLANTATION PARK DR, BLUFFTON, SC 29910-9001
(843) 757-9661
(843) 757-9665
Mailing address
29 PLANTATION PARK DR, SUITE 202, BLUFFTON, SC 29910-9001
(843) 757-9661
(843) 961-9665

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
22573
SC
208200000X
Plastic Surgery Physician
22573
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
203414543
TAX ID
SC
05
TT69342
SC
Enumeration date
10/19/2006
Last updated
10/11/2007
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