Individual
DR. CHARLES TABB HAZELRIGG III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1713 DEVONSHIRE DR, COLUMBIA, SC 29204-2404
(803) 779-2427
Mailing address
103 NEW MARKET CIR, LEXINGTON, SC 29073-8752
(803) 807-8974
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4314
SC
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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