Individual
DR. MARY VICTORIA TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
92 COURTENAY DR, CHARLESTON, SC 29403-5742
(843) 577-6112
(843) 937-0200
Mailing address
92 COURTENAY DR, CHARLESTON, SC 29403-5742
(843) 577-6112
(843) 937-0200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3084
SC
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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