Individual
DR. CHARLES ELLIOTT MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
133 TOURNE CENTRE PARKWAY, MYRTLE BEACH, SC 29579
(843) 448-1621
(843) 903-3840
Mailing address
133 TOWNE CENTRE PKWY, MYRTLE BEACH, SC 29579-3493
(843) 448-1621
(843) 903-3840
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4023
SC
Other
Enumeration date
10/10/2006
Last updated
02/17/2020
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