Organization
W M WOODWARD, MD, PA
Active
Other names
CHARLESTON PAIN & REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY WAYNE BUNCHER SR. M.D. (MEDICAL DIRECTOR)
(843) 556-3462
Entity
Organization
Contact information
Practice address
1124 SAM RITTENBERG BLVD, SUITE 1, CHARLESTON, SC 29407-3362
(843) 556-3462
(843) 766-2103
Mailing address
1124 SAM RITTENBERG BLVD, SUITE 1, CHARLESTON, SC 29407-3362
(843) 556-3462
(843) 766-2103
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15523
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1103
—
SC
Enumeration date
06/10/2006
Last updated
06/12/2015
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