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1205346640
LITTLE P.C.
CONYERS, GA
NPI
1205346640
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Entity Type
Organization
Authorized Contact
MONIQUE TUCKER
Director Of Insurance
843-990-9998
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2017-10-11
Last Update Date
2017-12-08
Business Address
LITTLE P.C.
1360 DOGWOOD DR SE STE 304
CONYERS, GA 30013-5076
Phone number: 843-990-9998
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Mailing Address
LITTLE P.C.
4921 CENTRE POINTE DR STE 201
NORTH CHARLESTON, SC 29418-6997
Phone number: 843-990-9998
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