Individual
DR. CHRISTOPHER HEATH WINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
4 OKATIE CENTER BLVD S, SUITE 103, OKATIE, SC 29909-7529
(843) 705-9551
(843) 705-9552
Mailing address
4 OKATIE CENTER BLVD S, SUITE 103, OKATIE, SC 29909-7529
(843) 705-9551
(843) 705-9552
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
4676
SC
1223P0700X
Prosthodontics
DN015271
GA
Other
Enumeration date
09/28/2007
Last updated
03/15/2017
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