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Individual

DAVID KEVIN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1300 HOSPITAL DR, STE 250, MT PLEASANT, SC 29464
(843) 971-8180
(843) 971-9239
Mailing address
725 LONG POINT RD, MT PLEASANT, SC 29464-8226
(843) 971-8180
(843) 971-9239

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
8893
SC
208600000X
Surgery Physician
8893
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP3545
SC
Enumeration date
05/03/2006
Last updated
12/30/2009
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