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Individual

BRENDAN E SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16 OKATIE CENTER BOULEVARD SOUTH SUITE 101, OKATIE, SC 29909-7533
(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
174400000X
Specialist
Primary
22095
SC
208200000X
Plastic Surgery Physician
Primary
22095
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
T59479
SC
Enumeration date
10/17/2006
Last updated
05/28/2026
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