Organization
BLUE RIDGE ORAL AND MAXILLOFACIAL SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC MCGILL BRYANT SR. DMD (PRESIDENT)
(843) 267-5882
Entity
Organization
Contact information
Practice address
209 E HIGHLAND AVE, ANDERSON, SC 29621-4711
(843) 267-5882
Mailing address
209 E HIGHLAND AVE, ANDERSON, SC 29621-4711
(843) 267-5882
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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