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1417152190
ANNA TYSON FULLER
COLUMBIA, SC
NPI
1417152190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: SC 4334)
Enumeration Date
2007-06-20
Last Update Date
2023-04-22
Business Address
ANNA TYSON FULLER D.M.D.
6420 GARNERS FERRY RD STE X
COLUMBIA, SC 29209-1632
Phone number: 803-528-8351
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Mailing Address
ANNA TYSON FULLER D.M.D.
6420 GARNERS FERRY RD STE X
COLUMBIA, SC 29209-1632
Phone number: 803-661-8412
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