Individual
DAVID KABATA MACHUNGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2000
Mailing address
45888 WINTHROP PL, MACOMB, MI 48044-5790
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
19486
SC
367500000X
Certified Registered Nurse Anesthetist
4704239474
MI
Other
Enumeration date
10/06/2006
Last updated
11/09/2020
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