| Waccamaw Elementary School | |
|
251 Claridy Rd Conway SC 29526-8343 | |
| (843) 347-4684 | |
| (843) 347-0398 |
| Full Name | Waccamaw Elementary School |
|---|---|
| Speciality | Dentist |
| Location | 251 Claridy Rd, Conway, South Carolina |
| Authorized Official Name and Position | Chari L Sherrill (CREDENTIALING) |
| Authorized Official Contact | 8436631013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waccamaw Elementary School 251 Claridy Rd Conway SC 29526-8343 Ph: (843) 347-4684 | Waccamaw Elementary School 251 Claridy Rd Conway SC 29526-8343 Ph: (843) 347-4684 |
| NPI Number | 1538342415 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 12/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538342415 | NPI | - | NPPES |
| ZA9656 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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