Individual
ROXANNE BRAXTON WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
301 CHURCH ST, GEORGETOWN, SC 29440-2405
(843) 520-4746
Mailing address
2508 JASPER BLVD, SULLIVANS ISLAND, SC 29482-9614
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11027
NC
1223G0001X
General Practice Dentistry
Primary
9360
SC
Other
Enumeration date
06/18/2019
Last updated
05/08/2024
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