NPI 1770036410 · live from the CMS NPI Registry
Devin Antonovich, M.D.
Anesthesiology in West Columbia, SC. National Provider Identifier 1770036410, active.
NPI record
| NPI | 1770036410 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 176 Mcswain Dr, West Columbia, SC 29169 |
| Practice phone | 843-797-3636 |
| Mailing address | 9267 Medical Plaza Dr Ste G, N Charleston, SC 29406 |
| Enumerated | July 29, 2016 |
| Last updated | April 10, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Preventive Medicine, Undersea and Hyperbaric Medicine | 2083P0011X | 39925 (SC) |
| Anesthesiology, Pain Medicine | 207LP2900X | 39925 (SC) |
| Anesthesiology primary | 207L00000X | MMD.39925.LL (SC) |
| Specialist | 174400000X | 39925 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.