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Organization
JIM NASIM DMD PA
Active
Organization
JIM NASIM DMD PA
Active
Other names
Iron City Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
JENNI TOMLINSON (CREDENTIALING SPECIALIST)
(864) 839-0034
Entity
Organization
Contact information
Practice address
1119 W CHEROKEE ST, BLACKSBURG, SC 29702-9221
(864) 839-0034
(864) 839-0064
Mailing address
1119 W CHEROKEE ST, BLACKSBURG, SC 29702-9221
(864) 839-0034
(864) 839-0064
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2881
SC
1223P0221X
Pediatric Dentistry
2881
SC
Other
Enumeration date
09/11/2015
Last updated
10/09/2023
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