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Terrence Vandiver
NPI 1306811914 · on the registry since 2006
Practice
- Address
- 1631 Gordon Hwy
#22
Augusta, GA 30906 - Phone
- (706) 790-9302
- Fax
- (706) 790-9303
- Organisation at this address
- Total Renal Care Inc
Bridgeport River Dental Pc
Gordon Highway Dental Group, Llc
Augusta Smiles Youth Dentistry, Pc
Nephrology Center Of South AugustaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- General Practice Dentistry
- Licence states on file
- GA, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-03-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia