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Jim Li

NPI 1548644677 · on the registry since 2015 · sole proprietor

Practice

Address
420 Polifka Dr Bldg 1042
Shaw Afb, SC 29152
Phone
(803) 895-6960
Clinicians at this address
64

Registry record

Primary taxonomy
Dentist
122300000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-22
Status
Not present in the most recent federal file

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 South Carolina