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1912101189
CHARLES TABB HAZELRIGG
COLUMBIA, SC
NPI
1912101189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: SC 4314)
Enumeration Date
2007-06-12
Last Update Date
2007-07-08
Business Address
Dr. CHARLES TABB HAZELRIGG DMD
1713 DEVONSHIRE DR
COLUMBIA, SC 29204-2404
Phone number: 803-779-2427
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Mailing Address
Dr. CHARLES TABB HAZELRIGG DMD
103 NEW MARKET CIR
LEXINGTON, SC 29073-8752
Phone number: 803-807-8974
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