Individual
JENNIFER P PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
946 ORLEANS RD, UNIT L, CHARLESTON, SC 29407-4815
(843) 573-0733
(843) 573-1065
Mailing address
946 ORLEANS RD, UNIT L, CHARLESTON, SC 29407-4815
(843) 573-0733
(843) 573-1065
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3997
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3997
—
SC
Enumeration date
07/18/2006
Last updated
10/22/2012
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