Individual
DR. CHARLES D MYERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
133 CEDAR ST, ST STEPHEN, SC 29479
(843) 567-3175
(843) 567-3293
Mailing address
PO BOX 760, SAINT STEPHEN, SC 29479-0760
(843) 567-3176
(843) 567-3292
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1954
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
919542
—
SC
Enumeration date
07/18/2006
Last updated
07/09/2007
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