| NPI | 1184506693 |
|---|---|
| Doing Business As | SUMMERVILLE ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | TINA A HICKS Billing 864-216-7924 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-07-24 |