Organization
SMITH PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDAN EDWARD SMITH MD (OWNER)
(843) 705-8940
Entity
Organization
Contact information
Practice address
16 OKATIE CENTER BLVD S STE 101, OKATIE, SC 29909-7535
(843) 705-8940
(843) 705-6816
Mailing address
16 OKATIE CENTER BLVD S STE 101, OKATIE, SC 29909-7535
(843) 705-8940
(843) 705-6816
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
22095
SC
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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