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Individual

DENNIS GEORGE WASHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
200 PATEWOOD DR, STE. C-300, GREENVILLE, SC 29615-3593
(864) 454-8272
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
371
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
576007863071
BCBS OF SC ID
SC
01
970027994
RR MEDICARE
SC
05
QM0477
SC
Enumeration date
05/31/2006
Last updated
09/10/2013
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