Individual
JEFFREY W BUNCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1124 SAM RITTENBERG BLVD, STE 1, CHARLESTON, SC 29407-3362
(843) 556-3462
(843) 766-2103
Mailing address
1124 SAM RITTENBERG BLVD, STE 1, CHARLESTON, SC 29407-3362
(843) 556-3462
(843) 766-2103
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15523
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1103
—
SC
05
—
TL6124
—
SC
Enumeration date
03/21/2007
Last updated
07/20/2010
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