| Tgd-james Island Llc | |
|
1136 Folly Rd Charleston SC 29412-4104 | |
| (843) 225-7171 | |
| Not Available |
| Full Name | Tgd-james Island Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1136 Folly Rd, Charleston, South Carolina |
| Authorized Official Name and Position | Eric J Layton (PRESIDENT) |
| Authorized Official Contact | 8432257171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tgd-james Island Llc 1136 Folly Rd Charleston SC 29412-4104 Ph: () - | Tgd-james Island Llc 1136 Folly Rd Charleston SC 29412-4104 Ph: (843) 225-7171 |
| NPI Number | 1619455698 |
|---|---|
| Provider Enumeration Date | 08/01/2018 |
| Last Update Date | 08/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619455698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7027 (South Carolina) | Primary |
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