Organization
SAND HILLS ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER B SMITH MD (PRESIDENT)
(849) 339-2100
Entity
Organization
Contact information
Practice address
1304 W BOBO NEWSOM HWY, ANESTHESIA DEPT, HARTSVILLE, SC 29550-4710
(843) 339-2100
Mailing address
PO BOX 63353, CHARLOTTE, NC 28263-0001
(843) 339-2100
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3164
—
SC
Enumeration date
01/23/2006
Last updated
07/21/2022
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