| Carolina Oaks Clemson Llc | |
|
1000 College Ave Clemson SC 29631-2804 | |
| (864) 654-6700 | |
| Not Available |
| Full Name | Carolina Oaks Clemson Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1000 College Ave, Clemson, South Carolina |
| Authorized Official Name and Position | Marc David Workman (MEMBER) |
| Authorized Official Contact | 8646546700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Oaks Clemson Llc 1000 College Ave Clemson SC 29631-2804 Ph: (864) 654-6700 | Carolina Oaks Clemson Llc 1000 College Ave Clemson SC 29631-2804 Ph: (864) 654-6700 |
| NPI Number | 1225466592 |
|---|---|
| Provider Enumeration Date | 10/24/2013 |
| Last Update Date | 10/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225466592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3914 (South Carolina) | Primary |
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