Individual
JAMIE DUNDR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
190 BLANDING STREET, COLUMBIA, SC 29201
(803) 256-4107
Mailing address
1316 GREEN TURF LN, ELGIN, SC 29045-8133
(330) 904-1118
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
214558
SC
367500000X
Certified Registered Nurse Anesthetist
136168
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
25059
SC
Other
Enumeration date
07/02/2021
Last updated
05/28/2024
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