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Organization

SMYTHE RICH MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN SMYTHE RICH III M.D. (OWNER/PHYSICIAN)
(803) 799-3223
Entity
Organization

Contact information

Practice address
1711 RICHLAND ST, COLUMBIA, SC 29201-2635
(803) 799-3223
(803) 933-9460
Mailing address
1711 RICHLAND ST, COLUMBIA, SC 29201-2635
(803) 799-3223
(803) 933-9460

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
14870
SC
207Y00000X
Otolaryngology Physician
0527178
SC
207Y00000X
Otolaryngology Physician
148708
SC
207Y00000X
Otolaryngology Physician
SI CODE 78011
SC
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
148708
SC
Enumeration date
09/07/2006
Last updated
09/01/2021
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