| Carolina Oaks Oconee 2, Llc | |
|
107 N Earle St Walhalla SC 29691-2419 | |
| (585) 186-4638 | |
| Not Available |
| Full Name | Carolina Oaks Oconee 2, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 107 N Earle St, Walhalla, South Carolina |
| Authorized Official Name and Position | Marc D Workman (MEMBER) |
| Authorized Official Contact | 8642353949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Oaks Oconee 2, Llc 200 S Pleasantburg Dr Greenville SC 29607-2522 Ph: (864) 235-3949 | Carolina Oaks Oconee 2, Llc 107 N Earle St Walhalla SC 29691-2419 Ph: (585) 186-4638 |
| NPI Number | 1801404520 |
|---|---|
| Provider Enumeration Date | 07/20/2020 |
| Last Update Date | 07/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801404520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Lake Keowee Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 N Catherine St, Walhalla, SC 29691 Phone: 864-638-6690 Fax: 864-638-9203 | |
Lake Keowee Dental Esthetics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 N Catherine St, Walhalla, SC 29691 Phone: 864-638-6690 Fax: 864-638-9203 | |
Sidney R Bryson Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 N Earle St, Walhalla, SC 29691 Phone: 864-638-5851 Fax: 864-638-5850 | |
Lake Keowee Dental Esthetics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 N Catherine St, Walhalla, SC 29691 Phone: 864-638-6690 |