Organization
ANESTHESIA SC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN WESLEY SMITH (MEMBER MANAGER)
(843) 504-7194
Entity
Organization
Contact information
Practice address
101 SURGEONS DR, MYRTLE BEACH, SC 29579-5198
(843) 504-7194
Mailing address
PO BOX 1427, COLUMBIA, SC 29202-1427
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/18/2017
Last updated
10/06/2019
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