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BEVERLY ATTAWAY DMD

Surgery Yellow Pages

Charleston, South Carolina

Provider NPI: 1790898732

Provider Information:
 BEVERLY  ATTAWAY DMD


Practice Location:
171 ASHLEY AVE  CHARLESTON, SC 29425 US
Tel: 843-792-1414  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y204E00000XPhysicians
Oral & Maxillofacial Surgery
SC4165

Other Provider Identifiers:

IssuerNumberStateType
ZX4165SC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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