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 BOULEVARD SOUTH SUITE 101, OKATIE, SC 29909-7533
(843) 705-8940
(843) 705-6816
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22095
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T59479
—
SC
Enumeration date
10/17/2006
Last updated
10/28/2015
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