Individual
GREGORY A MILLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1313 STATE ST, CAYCE, SC 29033
(803) 796-1734
(803) 796-5041
Mailing address
1313 STATE ST, CAYCE, SC 29033
(803) 796-1734
(803) 796-5041
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3904
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9552
—
SC
Enumeration date
02/27/2006
Last updated
06/23/2008
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