Individual
AMELIA BAXLEY ABERCROMBIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
669 W MARK BLVD, SUMTER, SC 29150-1900
(803) 905-3567
Mailing address
752 MATTISON AVE, SUMTER, SC 29150-3108
(803) 528-9092
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10788
NC
122300000X
Dentist
Primary
9847
SC
Other
Enumeration date
07/17/2017
Last updated
06/25/2021
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