Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 661 | SC |
NPI | 1255459665 |
---|---|
Provider Name | Dr. George Frank Priest JR. |
First Address | Hilton Head Island, SC 29926-6606 |
Second Address | Hilton Head Island, SC 29926-6606 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2007 |
Last Update Date | 01/04/2015 |