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Individual

DR. TERRY KENT NICHOLS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
5107 TRENHOLM RD, COLUMBIA, SC 29206-4802
(803) 782-9030
Mailing address
5107 TRENHOLM RD, COLUMBIA, SC 29206-4802
(803) 782-9030

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9571
SC

Other

Enumeration date
06/19/2019
Last updated
02/28/2024
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