Individual
JOHN A GARTUNG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1910 BLANDING ST, COLUMBIA, SC 29201-3520
(803) 256-4107
(803) 254-2825
Mailing address
1910 BLANDING ST, COLUMBIA, SC 29201-3520
(803) 256-4107
(803) 254-2825
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1672
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1242PA
—
SC
Enumeration date
07/06/2006
Last updated
01/29/2021
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