Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | MD28924 | SC |
NPI | 1235200643 |
---|---|
Provider Name | Dennis Kenneth Schimpf |
First Address | Summerville, SC 29483-6656 |
Second Address | Summerville, SC 29483-6656 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2006 |
Last Update Date | 04/12/2014 |