Individual
MRS. JEANNIE WYATT ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
100 OLD CHEROKEE RD, SUITE F PMB 14, LEXINGTON, SC 29072-9316
(803) 808-2950
(803) 808-5642
Mailing address
1905 DEERWOOD PL, FLORENCE, SC 29501-6366
(843) 992-8946
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1078
SC
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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