Organization
PERIODONTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD THOMAS MURPHY DMD (MEMBER)
(843) 571-0853
Entity
Organization
Contact information
Practice address
33 GAMECOCK AVE STE A, CHARLESTON, SC 29407-3397
(843) 571-0853
(843) 769-7342
Mailing address
33 GAMECOCK AVE STE A, CHARLESTON, SC 29407-3397
(843) 571-0853
(843) 769-7342
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
1487
SC
1223P0300X
Periodontics
3204
SC
1223P0300X
Periodontics
Primary
3981
SC
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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