Individual
DR. JAMES BRADLEY WISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
52 COURTENAY DR, CHARLESTON, SC 29403-5707
(843) 722-1676
Mailing address
52 COURTENAY DR, CHARLESTON, SC 29403-5707
(843) 722-1676
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3916
SC
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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