Individual
DR. JAMES KEITH BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1275 S SUBER RD, GREER, SC 29650-0940
(864) 877-2541
Mailing address
1275 S SUBER RD, GREER, SC 29650-0940
(864) 877-2541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3413
SC
Other
Enumeration date
05/28/2007
Last updated
07/08/2007
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