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NPI Code Detail

MEDICARE: DAVID K. SMITH M D LLC

MEDICARE: DAVID K. SMITH M D LLC
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
1207VG0400XGynecology Physician8893SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2D182837453OTHERSCMEDICARE LEGACY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326248766
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID K. SMITH M D LLC
Provider Business Mailing Address
First Line : 1300 HOSPITAL DR
Second Line : SUITE 250
City : MT PLEASANT
State : SC
Zip : 29464-3261
Country : US
Telephone Number : 843-971-8180
Fax Number : 843-971-9239
Provider Business Practice Location Address
First Line : 1300 HOSPITAL DR
Second Line : SUITE 250
City : MT PLEASANT
State : SC
Zip : 29464-3261
Country : US
Telephone Number : 843-971-8180
Fax Number : 843-971-9239
Authorized Official
Title or Position : OWNER
Name : DAVID K SMITH
Credential : M.D.
Telephone Number : 843-971-8180
Provider Enumeration Date : 07/24/2007
Last Update Date : 06/16/2008

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Directions to “DAVID K. SMITH M D LLC ” Practice Location

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