Individual
CHRIS BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1161 COOK RD, ORANGEBURG, SC 29118-8204
(803) 395-4600
(803) 395-4620
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-4497
(803) 536-0998
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
16357
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000161432
UNISON
SC
05
—
163575
—
SC
01
—
20039415
FIRST CHOICE
SC
01
—
576008010-005
BCBS
SC
01
—
8077776
CIGNA
SC
Enumeration date
03/07/2006
Last updated
11/25/2009
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