Individual
DONALD MARVIN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
114 BOYCE LAWTON DR, CAMERON, SC 29030
(803) 823-2100
Mailing address
PO BOX 671, CAMERON, SC 29030-0671
(803) 823-2100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2545
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZ2545
—
SC
Enumeration date
12/04/2006
Last updated
07/08/2007
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