Individual
DR. SAMUEL JAMES TA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1519 HERITAGE LN, FLORENCE, SC 29505-3141
(843) 664-8777
Mailing address
2354 FREEDOM BLVD APT C8, FLORENCE, SC 29505-6092
(215) 478-1659
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8973
SC
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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