| Little P.c. | |
|
1360 Dogwood Dr Se Ste 304 Conyers GA 30013-5076 | |
| (843) 990-9998 | |
| Not Available |
| Full Name | Little P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1360 Dogwood Dr Se Ste 304, Conyers, Georgia |
| Authorized Official Name and Position | Monique Tucker (DIRECTOR OF INSURANCE) |
| Authorized Official Contact | 8439909998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little P.c. 4921 Centre Pointe Dr Ste 201 North Charleston SC 29418-6997 Ph: (843) 990-9998 | Little P.c. 1360 Dogwood Dr Se Ste 304 Conyers GA 30013-5076 Ph: (843) 990-9998 |
| NPI Number | 1205346640 |
|---|---|
| Provider Enumeration Date | 10/11/2017 |
| Last Update Date | 12/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205346640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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