Individual
BAILEY JEAN FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6134 WHITE HORSE RD STE C, GREENVILLE, SC 29611-3847
(864) 295-2744
Mailing address
417 SAWTOOTH CT, KATHLEEN, GA 31047-2187
(478) 919-0916
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9643
SC
Other
Enumeration date
05/21/2020
Last updated
06/15/2020
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