Organization
FAMILY DENTISTRY
Active
Other names
J. Michael Havird DMD PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE CORLEY (OFFICE MANAGER)
(803) 279-0015
Entity
Organization
Contact information
Practice address
1810 KNOX AVE STE A, NORTH AUGUSTA, SC 29841-2903
(803) 279-0015
Mailing address
1810 KNOX AVE STE A, NORTH AUGUSTA, SC 29841-2903
(803) 279-0015
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2109
SC
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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