Individual
MRS. DEBRA ANN FLANAGAN MITCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
113 WAPPOO CREEK DRIVE, SUITE 5, CHARLESTON, SC 29412
(843) 762-1234
(843) 762-9142
Mailing address
113 WAPPOO CREEK DRIVE, SUITE 5, CHARLESTON, SC 29412
(843) 762-1234
(843) 762-9142
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2989
SC
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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