JACKIE DALE NANNY

BEAUFORT, SC
NPI1518950534
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist Periodontics
(Licence: FL  DN 8903)
Enumeration Date2005-08-24
Last Update Date2007-09-14
Business Address
DR. JACKIE DALE NANNY D.M.D.
188 NICARAGUA ST
BEAUFORT, SC 29902-7552
Phone number: 843-228-3500
Mailing Address
DR. JACKIE DALE NANNY D.M.D.
188 NICARAGUA ST
BEAUFORT, SC 29902-7552
Phone number: 843-228-3500
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