Carolina Forest Periodontics, PA
Carolina Forest Periodontics, PA provides Periodontics in Conway, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.
- Licensed in
- SC
- In the registry since
- 2007
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1074 Highway 501 BusinessConway, SC 29526-9588
Phone: (843) 650-8000
Fax: (843) 347-4920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence 2434 (SC) |
|---|
Record details
| NPI number | 1063639888 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Allen Rasheed — President · (843) 650-8000 |
| NPI enumerated | April 20, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1074 Highway 501 Business, Conway, SC 29526-9588 |