Organization
FAIRCLOTH AND BAKEMAN PARTNERSHIP
Active
Other names
Aiken Augusta Oral & Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY MILLER (OFFICE MANAGER)
(803) 642-0020
Entity
Organization
Contact information
Practice address
150 CREPE MYRTLE DR, AIKEN, SC 29803-7543
(803) 642-0020
(803) 643-5617
Mailing address
150 CREPE MYRTLE DR, AIKEN, SC 29803-7543
(803) 642-0020
(803) 643-5617
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1223S0112X
SC
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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