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1316006547
MARK J MCCOY
MYRTLE BEACH, SC
NPI
1316006547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: SC SC 3610)
Enumeration Date
2006-12-06
Last Update Date
2007-07-08
Business Address
-- MARK J MCCOY DMD
201 RONNIE CT
MYRTLE BEACH, SC 29579-4136
Phone number: 843-236-2273
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Mailing Address
-- MARK J MCCOY DMD
529 PRINCE ST
GEORGETOWN, SC 29440-3627
Phone number: 843-224-5575
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