Individual provider · NPI-1
Marsha Elizabeth Clyburn, RDH
Dental Hygienist · Beaufort, SC
NPI number1235887597
StatusActive
Last updated in NPPESMar 16, 2022
Details
- NPI
- 1235887597
- Entity type
- Individual (NPI-1)
- Name
- Marsha Elizabeth Clyburn
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2022
- Certification date
- Jan 13, 2022
- Last updated
- Mar 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 1675 | SC | Yes |
Practice location
1 Pinckney BlvdBeaufort, SC 29902-6122
Phone 843-228-5600
Mailing address
20 Ashley DrBeaufort, SC 29907-1426
Phone 843-812-1186
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