Individual
MR. JACK M MCGILL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
65 SAMS POINT ROAD, BEAUFORT, SC 29907
(843) 525-6866
(843) 525-6290
Mailing address
65 SAMS POINT ROAD, BEAUFORT, SC 29907
(843) 525-6866
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC1950
SC
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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