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649 West Carolina Ave Varnville SC 29944 | |
| (803) 943-4895 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 649 West Carolina Ave, Varnville, South Carolina |
| Authorized Official Name and Position | Earl B Hartzog (PRESIDENT) |
| Authorized Official Contact | 8037933653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
649 West Carolina Ave Varnville SC 29944 Ph: (803) 943-4895 | 649 West Carolina Ave Varnville SC 29944 Ph: (803) 943-4895 |
| NPI Number | 1427502160 |
|---|---|
| Provider Enumeration Date | 08/11/2016 |
| Last Update Date | 09/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427502160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8740 (South Carolina) | Primary |
Welvista Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 395 Pine St E, Varnville, SC 29944 Phone: 803-300-7028 Fax: 803-584-4806 | |