Individual
MATTHEW BRUNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
162 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8907
(843) 792-4074
Mailing address
162 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8907
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL82822
SC
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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