Individual
DR. DEVIN ANTONOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
176 MCSWAIN DR, WEST COLUMBIA, SC 29169-4825
(843) 797-3636
Mailing address
9267 MEDICAL PLAZA DR STE G, N CHARLESTON, SC 29406-9139
(843) 797-3636
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
39925
SC
207L00000X
Anesthesiology Physician
Primary
MMD.39925.LL
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
39925
SC
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
39925
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
399251
—
SC
Enumeration date
07/29/2016
Last updated
04/10/2026
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