Individual
DR. PETER B SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1304 W BOBO NEWSOM HWY, ANESTHESIA DEPT, HARTSVILLE, SC 29550-4710
(843) 339-2100
Mailing address
PO BOX 32849, CHARLOTTE, NC 28232-2849
(843) 339-2100
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21153
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
21153
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211531
—
SC
Enumeration date
01/25/2006
Last updated
10/05/2007
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