Individual provider · Type 1 NPI

Samai Supan, MD

Adult Medicine Physician · Okatie, SC

NPI number 1861451569 Active

Practice location

719 Okatie Hwy # 170
Okatie, SC 29909-3963

Call (843) 987-7400 Map

Fax (843) 987-5135

Mailing address

154 Spanish Point Dr
Beaufort, SC 29902-6126

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505X11283 (SC)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

23 other providers at this address

About NPI 1861451569

Samai Supan, MD's National Provider Identifier is 1861451569, issued on Mar 21, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Okatie, SC. The record was last updated on Mar 10, 2020.