Individual
DR. EUGENE SPACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3201 MAYBANK HWY, JOHNS ISLAND, SC 29455-4817
(843) 559-3135
(843) 559-3137
Mailing address
3201 MAYBANK HWY, JOHNS ISLAND, SC 29455-4817
(843) 559-3135
(843) 559-3137
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2958
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z29586
—
SC
Enumeration date
08/14/2008
Last updated
08/14/2008
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