Individual
DR. AGATHA JERRY LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
811 ST ANDREWS BLVD, SUITE B, CHARLESTON, SC 29407
(843) 571-7951
(843) 571-7952
Mailing address
811 SAINT ANDREWS BLVD, SUITE B, CHARLESTON, SC 29407-7187
(843) 571-7951
(843) 571-7952
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4332
SC
Other
Enumeration date
07/16/2007
Last updated
07/29/2009
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