| Blackman & Lineberger Orthodontics | |
|
91 Rutledge Ave Charleston SC 29401-1722 | |
| (843) 577-7477 | |
| Not Available |
| Full Name | Blackman & Lineberger Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 91 Rutledge Ave, Charleston, South Carolina |
| Authorized Official Name and Position | Candie S Goodwin (BUSINESS MANAGER) |
| Authorized Official Contact | 7048923300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackman & Lineberger Orthodontics 91 Rutledge Ave Charleston SC 29401-1722 Ph: (843) 577-7477 | Blackman & Lineberger Orthodontics 91 Rutledge Ave Charleston SC 29401-1722 Ph: (843) 577-7477 |
| NPI Number | 1902345630 |
|---|---|
| Provider Enumeration Date | 02/14/2017 |
| Last Update Date | 02/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902345630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8066 (South Carolina) | Primary |
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