| K Stewart 003, Llc | |
|
1242 Parkside Acorn Drive Inman SC 29349-8344 | |
| (864) 578-9366 | |
| Not Available |
| Full Name | K Stewart 003, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1242 Parkside Acorn Drive, Inman, South Carolina |
| Authorized Official Name and Position | Dallas Burnett (OWNER) |
| Authorized Official Contact | 8644150931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K Stewart 003, Llc 230 N Grove Medical Park Drive Spartanburg SC 29303 Ph: (864) 641-7998 | K Stewart 003, Llc 1242 Parkside Acorn Drive Inman SC 29349-8344 Ph: (864) 578-9366 |
| NPI Number | 1891450755 |
|---|---|
| Provider Enumeration Date | 11/05/2021 |
| Last Update Date | 06/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891450755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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