Individual
DR. ALLISON LANE FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2104 OLD SPARTANBURG RD, GREER, SC 29650-2763
(864) 268-7812
Mailing address
12 CHEROKEE RD, MOULTRIE, GA 31768-6500
(229) 529-3578
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10527
SC
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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