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Individual

DR. CAMERON MICHAEL WIMPY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1639 WOODRUFF RD, GREENVILLE, SC 29607-5930
(864) 297-7232
Mailing address
205 SPRING LAKE LOOP, SIMPSONVILLE, SC 29681-7227
(864) 787-2301

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2519
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30-2519
DENTAL LICENSE
SC
Enumeration date
07/12/2006
Last updated
07/08/2007
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