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Organization
GAMECOCK DENTISTRY PA
Active
Organization
GAMECOCK DENTISTRY PA
Active
Other names
Beach Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COURTNEY HOLMES SUGGS DMD (DENTIST)
(843) 798-1662
Entity
Organization
Contact information
Practice address
968 INTERNATIONAL DR, MYRTLE BEACH, SC 29579-3488
(843) 903-8800
Mailing address
968 INTERNATIONAL DR, MYRTLE BEACH, SC 29579-3488
(843) 903-8800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
06/13/2019
Last updated
11/20/2024
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