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Individual

DR. TOMMY CARROLL PLAYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
614 W PALMETTO ST, FLORENCE, SC 29501-4302
(843) 669-5687
(843) 669-0161
Mailing address
614 W PALMETTO ST, FLORENCE, SC 29501-4302
(843) 669-5687
(843) 669-0161

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC1242
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Z-12424
SC
Enumeration date
04/09/2007
Last updated
07/09/2007
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