Individual
SHELBY ANN NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
119 PAVILION DR, LITTLE RIVER, SC 29566-9141
(843) 663-8385
Mailing address
119 PAVILION DR, LITTLE RIVER, SC 29566-9141
(843) 663-8385
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10495
SC
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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