Individual
PAIGE SHONE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
105 STATE PARK RD, GREENVILLE, SC 29609-2914
(864) 271-1156
Mailing address
3125 KINGSHOUSE CMNS, ALPHARETTA, GA 30022-7610
(770) 633-6388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD9935GD
SC
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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