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Organization
MERRELL C. STILL JR. DMD PA
Active
Organization
MERRELL C. STILL JR. DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA S. BROWN (OFFICE MANAGER)
(803) 259-1124
Entity
Organization
Contact information
Practice address
10982 ELLENTON ST, BARNWELL, SC 29812-7304
(803) 259-1124
(803) 259-9801
Mailing address
10982 ELLENTON ST, BARNWELL, SC 29812-7304
(803) 259-1124
(803) 259-9801
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3022
SC
122300000X
Dentist
4609
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z30229
—
SC
Enumeration date
09/14/2009
Last updated
09/14/2009
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