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Organization
BRANDON C BULTSMA, DPM, PC
Active
Organization
BRANDON C BULTSMA, DPM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON BULTSMA DPM (OWNER/PRESIDENT)
(854) 444-3129
Entity
Organization
Contact information
Practice address
1565 SAM RITTENBERG BLVD STE 104, CHARLESTON, SC 29407-4128
(854) 444-3129
(854) 444-3190
Mailing address
1565 SAM RITTENBERG BLVD STE 104, CHARLESTON, SC 29407-4128
(854) 444-3129
(854) 444-3190
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
02/14/2024
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