Individual
MICHAEL EUGENE PIEPENBRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1109 MEMORIAL LN STE B, GEORGETOWN, SC 29440-3369
(843) 546-0173
Mailing address
1109 MEMORIAL LANE SUITE B, GEORGETOWN, SC 29440-3311
(843) 546-0173
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2679
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z26794
—
SC
Enumeration date
11/26/2007
Last updated
11/26/2007
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