| Eg Dmd, Llc | |
|
649 W Carolina Ave Varnville SC 29944-4757 | |
| (803) 943-4895 | |
| Not Available |
| Full Name | Eg Dmd, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 649 W Carolina Ave, Varnville, South Carolina |
| Authorized Official Name and Position | Emerson F Gower (OWNER/DENTIST) |
| Authorized Official Contact | 8039434895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eg Dmd, Llc 23 Greeters Ln Bluffton SC 29909-7027 Ph: (843) 621-1104 | Eg Dmd, Llc 649 W Carolina Ave Varnville SC 29944-4757 Ph: (803) 943-4895 |
| NPI Number | 1053826057 |
|---|---|
| Provider Enumeration Date | 12/12/2017 |
| Last Update Date | 12/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053826057 | NPI | - | NPPES |
| ZX7047 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7047 (South Carolina) | Primary |
Welvista Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 395 Pine St E, Varnville, SC 29944 Phone: 803-300-7028 Fax: 803-584-4806 | |
Earl B Hartzog Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 649 West Carolina Ave, Varnville, SC 29944 Phone: 803-943-4895 |