Individual
DR. STEPHEN C CHADWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1005 TANNER FORD BLVD, SUITE 102, HANAHAN, SC 29410
(843) 797-6287
(843) 797-6292
Mailing address
1005 TANNER FORD BLVD, SUITE 102, HANAHAN, SC 29410
(843) 797-6287
(843) 797-6292
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3252
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232527
—
SC
01
—
63370
BLUE CROSS
GA
01
—
817149
UNITED CONCORDIA
—
Enumeration date
02/24/2006
Last updated
01/30/2009
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