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Organization
LITTLE P.C.
Active
Organization
LITTLE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE TUCKER (DIRECTOR OF INSURANCE)
(843) 990-9998
Entity
Organization
Contact information
Practice address
1909 E VICTORY DR STE F106, SAVANNAH, GA 31404-3725
(912) 200-3237
(866) 568-4935
Mailing address
4921 CENTRE POINTE DR, NORTH CHARLESTON, SC 29418-6996
(843) 990-9998
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/31/2017
Last updated
12/08/2017
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