Individual
DR. JAMES JOSEPH SANDERS II
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
805 16TH AVE, CONWAY, SC 29526
(843) 248-3612
(843) 488-0624
Mailing address
805 16TH AVE, CONWAY, SC 29526
(843) 248-3612
(843) 488-0624
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28881
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z28881
—
SC
05
—
ZA9515
—
SC
Enumeration date
06/09/2006
Last updated
07/08/2007
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