Individual
DR. JESSICA TABB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
102 BRYANT ST, SAINT GEORGE, SC 29477-2160
(843) 563-3208
Mailing address
1969 CLAY LN, CHARLESTON, SC 29414-6680
(843) 637-9135
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD.8590 GD
SC
Other
Enumeration date
07/09/2015
Last updated
04/08/2020
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