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Organization
PALMETTO OFS, LLC
Active
Organization
PALMETTO OFS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT M. SHIGLEY DMD, MS (OWNER)
(864) 714-1800
Entity
Organization
Contact information
Practice address
2849 N PLEASANTBURG DR, GREENVILLE, SC 29609-3034
(864) 714-1800
(864) 714-1805
Mailing address
3021 AMBERBROOK LN, CHARLESTON, SC 29414-8125
(864) 420-2738
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
8374
SC
Other
Enumeration date
01/31/2018
Last updated
12/04/2020
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