Organization
JOSEPH AND JOSEPH P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN JOSEPH (OFFICE MANAGER)
(843) 546-5994
Entity
Organization
Contact information
Practice address
632 FRONT ST, GEORGETOWN, SC 29440-3624
(843) 546-5994
(843) 546-4084
Mailing address
632 FRONT ST, GEORGETOWN, SC 29440-3624
(843) 546-5994
(843) 546-4084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2114
SC
1223G0001X
General Practice Dentistry
3376
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
933768
—
SC
Enumeration date
09/12/2007
Last updated
09/12/2007
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