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Organization

HORRY-GEORGETOWN TECHNICAL COLLEGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PHILIP NOEL RENDER DMD (DENTIST, DEAN OF ACADEMIC AFFAIRS)
(843) 477-2171
Entity
Organization

Contact information

Practice address
3500 PAMPAS DR, BLDG. 1000, MYRTLE BEACH, SC 29577-5168
(843) 349-5279
(843) 349-7532
Mailing address
PO BOX 261966, CONWAY, SC 29528-6066
(843) 349-5279
(843) 349-7532

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
05/25/2012
Last updated
05/25/2012
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