Individual
RHIANNON FULLENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1099 N MAIN ST # 102, SUMMERVILLE, SC 29483-7300
(843) 536-8577
Mailing address
21 WESCOTT CT, CHARLESTON, SC 29403-5704
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10154
SC
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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