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Individual

DR. GARY WALTER AYERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1274 RIBAUT RD, BEAUFORT, SC 29902-6187
(843) 524-6363
(843) 522-9735
Mailing address
1274 RIBAUT RD, BEAUFORT, SC 29902-6187
(843) 524-6363
(843) 522-9735

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2089
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
576293
UNITED CONCORDIA
01
SC2089
LICENSE NUMBER
SC
05
Z20898
SC
Enumeration date
02/06/2007
Last updated
07/08/2007
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