Organization
GAMECOCK DENTISTRY PA
Active
Other names
Beach Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COURTNEY HOLMES SUGGS DMD (DENTIST)
(843) 798-1662
Entity
Organization
Contact information
Practice address
968 INTERNATIONAL DR, MYRTLE BEACH, SC 29579-3488
(843) 903-8800
Mailing address
968 INTERNATIONAL DR, MYRTLE BEACH, SC 29579-3488
(843) 903-8800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
06/13/2019
Last updated
11/20/2024
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