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NPI Code Detail

MEDICARE: DAVID S SMITH M. D.

MEDICARE:   DAVID S SMITH  M. D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician26540SC

General Provider Information

NPI Number : 1154342723
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID S SMITH M. D.
Provider Business Mailing Address
First Line : 863 DUNHAM ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29492-7591
Country : US
Telephone Number : 843-278-2816
Fax Number :
Provider Business Practice Location Address
First Line : 863 DUNHAM ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29492-7591
Country : US
Telephone Number : 843-278-2816
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 07/09/2007

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Directions to “ DAVID S SMITH M. D.” Practice Location

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