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Individual

THOMAS BRADLEY WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
118 SPRINGHALL DR, SUITE B, GOOSE CREEK, SC 29445-5360
(843) 572-8009
(843) 377-0509
Mailing address
118 SPRINGHALL DR, SUITE B, GOOSE CREEK, SC 29445-5360
(843) 572-8009
(843) 377-0509

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3808
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1393195
UNITED CONCORDIA ID
SC
05
ZA9634
SC
05
ZX3808
SC
Enumeration date
12/19/2006
Last updated
07/09/2007
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