Individual
DR. EDWIN RAY CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 PINCKEY BLVD, BEAUFORT, SC 29902
(843) 228-4911
Mailing address
132 FULLER STREET, BEAUFORT, SC 29902
(843) 228-4911
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2073
AR
Other
Enumeration date
01/20/2006
Last updated
07/13/2007
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