Individual
DR. JILLIAN ELAINE BROUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1724 STATE RD UNIT 4D, SUMMERVILLE, SC 29486-2842
(843) 352-4454
Mailing address
1755 CENTRAL PARK RD UNIT 6209, CHARLESTON, SC 29412-2850
(843) 670-8202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9714
SC
Other
Enumeration date
07/08/2020
Last updated
07/29/2021
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