| Sudduth Management Group Llc | |
|
101 S Main St Ste A Fountain Inn SC 29644-1909 | |
| (864) 531-3300 | |
| (864) 531-3375 |
| Full Name | Sudduth Management Group Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 101 S Main St Ste A, Fountain Inn, South Carolina |
| Authorized Official Name and Position | Evan Patrick Sudduth (DENTIST/OWNER) |
| Authorized Official Contact | 8645313300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sudduth Management Group Llc 101 S Main St Ste A Fountain Inn SC 29644-1909 Ph: (864) 531-3300 | Sudduth Management Group Llc 101 S Main St Ste A Fountain Inn SC 29644-1909 Ph: (864) 531-3300 |
| NPI Number | 1770420077 |
|---|---|
| Provider Enumeration Date | 05/04/2026 |
| Last Update Date | 05/04/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770420077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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