Individual
DR. JONATHAN POLK WIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
176 TYVOLA DRIVE, SUMMERVILLE, SC 29485
(843) 832-4560
(843) 832-4214
Mailing address
1815 OLD TROLLEY RD, SUITE107, SUMMERVILLE, SC 29485-8284
(843) 832-4560
(843) 832-4214
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC4001
SC
Other
Enumeration date
01/04/2007
Last updated
01/24/2020
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