Individual
DR. SANDRA REID BIGELOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
832 PINCKNEY ST., MCCLELLANVILLE, SC 29458
(843) 887-3763
(843) 887-4228
Mailing address
PO BOX 9, MC CLELLANVILLE, SC 29458-0009
(843) 887-3763
(843) 887-4228
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2205
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z22057
—
SC
Enumeration date
03/28/2007
Last updated
07/08/2007
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