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Charles B. Maxwell, Dmd, Pa
Clinic/Center in Johnsonville, South Carolina
NPI 1851345557

Charles B. Maxwell, Dmd, Pa is a Clinic/Center based in Johnsonville, SC. Charles B. Maxwell, Dmd, Pa practices in Johnsonville, SC. The NPI Number for Charles B. Maxwell, Dmd, Pa is 1851345557 and holds a License No. 2117 (South Carolina).

The current practice location address for Charles B. Maxwell, Dmd, Pa is 144 East Broadway St., Johnsonville, SC and can be reached out via phone at 843-386-2833 and via fax at 843-386-2279.

Location: 144 East Broadway St., Johnsonville, SC, 29555-0297
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851345557
Provider Name
Charles B. Maxwell, Dmd, Pa
Credential
Provider Entity Type
Organization
Address
144 East Broadway St., Johnsonville, SC, 29555-0297
Phone Number
843-386-2833
Fax Number
843-386-2279
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z2117-4 05 SC
institution
Provider Business Practice Location Address Details
Address
144 East Broadway St.
City
Johnsonville
State
South Carolina
Zip
29555-0297
Phone Number
843-386-2833
Fax Number
843-386-2279
person
Provider Business Mailing Address Details
Address
144 East Broadway St.
City
Johnsonville
State
South Carolina
Zip
29555-0297
Phone Number
843-386-2833
Fax Number
843-386-2279
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
2117 (South Carolina)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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