Individual
DR. JACKSON CAMERON WHISNANT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2088B E MAIN ST, SPARTANBURG, SC 29307-1425
(864) 582-4441
Mailing address
2088B E MAIN ST, SPARTANBURG, SC 29307-1425
(864) 582-4441
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4202
SC
Other
Enumeration date
09/27/2006
Last updated
04/21/2010
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