SAMAI SUPAN

OKATIE, SC
NPI1861451569
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QA0505X Family Medicine, Adult Medicine
(Licence: SC  11283)
Enumeration Date2006-03-21
Last Update Date2020-03-10
Business Address
SAMAI SUPAN M.D.
719 OKATIE HWY # 170
OKATIE, SC 29909-3963
Phone number: 843-987-7400
Mailing Address
SAMAI SUPAN M.D.
154 SPANISH POINT DR
BEAUFORT, SC 29902-6126
Phone number: 843-525-6569
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