Organization
JIM NASIM DMD PA
Active
Other names
Lakelands Dental Art
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER A TOMLINSON (CREDENTIALING COORDINATOR)
(864) 229-6639
Entity
Organization
Contact information
Practice address
101 DURST AVE W, GREENWOOD, SC 29649-2020
(864) 229-6639
(864) 941-3319
Mailing address
101 DURST AVE W, GREENWOOD, SC 29649-2020
(864) 229-6639
(864) 941-3319
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/22/2016
Last updated
10/09/2023
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