person
Samai Supan, MD
Adult Medicine Physician in Okatie, South Carolina
NPI 1861451569

Samai Supan is an Adult Medicine Physician based in Beaufort, SC and is specialized in Adult Medicine. Samai Supan practices in Okatie, SC and has the professional credentials of MD. The NPI Number for Samai Supan is 1861451569 and holds a License No. 11283 (South Carolina).

The current practice location address for Samai Supan is 719 Okatie Hwy # 170, Okatie, SC and can be reached out via phone at 843-987-7400 and via fax at 843-987-5135.

Location: 719 Okatie Hwy # 170, Okatie, SC, 29902-6126
person
Provider Profile Details
NPI Number
1861451569
Provider Name
Samai Supan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
719 Okatie Hwy # 170, Okatie, SC, 29902-6126
Phone Number
843-987-7400
Fax Number
843-987-5135
Provider Enumeration Date
03/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11283 01 SC STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
719 Okatie Hwy # 170
City
State
Zip
29909-3963
Phone Number
843-987-7400
Fax Number
843-987-5135
person
Provider Business Mailing Address Details
Address
719 Okatie Hwy # 170
City
State
Zip
29909-3963
Phone Number
843-987-7400
Fax Number
843-987-5135
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
11283 (South Carolina)
Definition
Definition to come.
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