Individual
MRS. TEMISHA H BUDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
12 BARNETTE DR, SUMTER, SC 29150-8004
(803) 773-5442
(803) 778-2394
Mailing address
12 BARNETTE DR, SUMTER, SC 29150-8004
(803) 773-5442
(803) 778-2394
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
745
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0609PA
—
SC
01
—
970026509
RAILROAD MEDICARE
SC
Enumeration date
03/22/2006
Last updated
05/01/2008
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