| Gye Nyame Llc | |
|
7210 Broad River Rd Ste K Irmo SC 29063-8150 | |
| (803) 781-5141 | |
| Not Available |
| Full Name | Gye Nyame Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7210 Broad River Rd Ste K, Irmo, South Carolina |
| Authorized Official Name and Position | Tashiba Nelson (OWNER) |
| Authorized Official Contact | 8037815141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gye Nyame Llc 7210 Broad River Rd Ste K Irmo SC 29063-8150 Ph: (803) 781-5141 | Gye Nyame Llc 7210 Broad River Rd Ste K Irmo SC 29063-8150 Ph: (803) 781-5141 |
| NPI Number | 1447035043 |
|---|---|
| Provider Enumeration Date | 08/30/2023 |
| Last Update Date | 08/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447035043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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