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Organization
FAMILY DENTISTRY
Active
Organization
FAMILY DENTISTRY
Active
Other names
J. Michael Havird DMD PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE CORLEY (OFFICE MANAGER)
(803) 279-0015
Entity
Organization
Contact information
Practice address
1810 KNOX AVE STE A, NORTH AUGUSTA, SC 29841-2903
(803) 279-0015
Mailing address
1810 KNOX AVE STE A, NORTH AUGUSTA, SC 29841-2903
(803) 279-0015
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2109
SC
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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