Individual
DR. ANESA STACKHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4760 HARD SCRABBLE RD STE 102, COLUMBIA, SC 29229-8630
(803) 462-4554
Mailing address
133 BOAT CLUB LN, LEXINGTON, SC 29073-7237
(864) 399-8137
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10225
SC
Other
Enumeration date
05/25/2022
Last updated
09/26/2023
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