Individual
MACY D POAPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
214 W HOME AVE, HARTSVILLE, SC 29550-4126
(843) 332-1331
(843) 857-9359
Mailing address
214 W HOME AVE, HARTSVILLE, SC 29550-4126
(843) 332-1331
(843) 857-9359
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8980
SC
Other
Enumeration date
07/18/2017
Last updated
07/21/2022
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