Medical University of Sc

NPI #1194026153 in Charleston, South Carolina

Provider Information

NPI Number
1194026153
Entity Type
Organization
Organization Name
Medical University of Sc
Primary Specialty
Dentist - Oral and Maxillofacial Pathology
Enumeration Date
Nov 8, 2010
Last Updated
Mar 4, 2020

Practice Location

Address
173 ASHLEY AVE
ZIP Code
29425-8908
Phone
(843) 792-4495

Authorized Official

Name
DR. BRAD W. NEVILLE, DDS
Title
DIRECTOR OF DIVISION OF ORAL PATHOL
Phone
(843) 792-4496

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial PathologyOral and Maxillofacial Pathology

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