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Individual

DR. GEORGINA G COFFEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
24 BOZARD ST, MANNING, SC 29102-2935
(803) 435-8845
Mailing address
24 BOZARD ST, P.O. BOX 1291, MANNING, SC 29102-2935
(803) 435-8845

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC3938
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZX3938
SC
Enumeration date
03/05/2007
Last updated
07/08/2007
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