Individual
CP DUNBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
608 E COLUMBIA AVE, LEESVILLE, SC 29070-7318
(803) 532-8155
Mailing address
517 LITTLE CREEK DR, LEESVILLE, SC 29070-7418
(803) 532-5859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11846
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118465
—
SC
Enumeration date
09/20/2005
Last updated
10/18/2007
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