Individual
LINDA L BUMGARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP CRNA
Contact information
Practice address
805 PAMPLICO HWY, BOX 100550, FLORENCE, SC 29505-6047
(843) 674-5000
Mailing address
805 PAMPLICO HWY, BOX 100550, FLORENCE, SC 29505-6047
(843) 674-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN3425
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN 1658
—
SC
Enumeration date
02/04/2008
Last updated
06/16/2011
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