Organization
LOW COUNTRY PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDAN E SMITH (PHYSICIAN)
(843) 705-8940
Entity
Organization
Contact information
Practice address
40 OKATIE CENTER BLVD, STE 350, OKATIE, SC 29909
(843) 705-8940
(843) 705-6816
Mailing address
40 OKATIE CENTER BLVD STE 350, OKATIE, SC 29909-7511
(843) 705-8940
(843) 705-6816
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T59479
—
SC
Enumeration date
12/24/2007
Last updated
12/24/2007
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