Organization
MANNING DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGINA COFFEY D,M,D, (VICE PRESIDENT)
(803) 435-8845
Entity
Organization
Contact information
Practice address
24 BOZARD ST, MANNING, SC 29102-2935
(803) 435-8845
(803) 435-2190
Mailing address
24 BOZARD ST, P.O. BOX 1291, MANNING, SC 29102-2935
(803) 435-8845
(803) 435-2190
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
SC1894
SC
1223G0001X
General Practice Dentistry
Primary
SC3938
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9698
—
SC
Enumeration date
04/03/2007
Last updated
08/22/2020
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