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Individual

DR. JEFFERY REED GOSNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
704 COLUMBIA RD, EDGEFIELD, SC 29824-4309
(803) 637-6060
(803) 637-6058
Mailing address
704 COLUMBIA RD, EDGEFIELD, SC 29824-4309
(803) 637-6060
(803) 637-6058

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2865
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Z28658
SC
Enumeration date
10/03/2006
Last updated
07/09/2007
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