Individual
DR. ATUL MOHAN GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55A SHERIDAN PARK CIR, BLUFFTON, SC 29910-6025
(843) 836-5111
(843) 836-5112
Mailing address
1694 OLD TOWNE ROAD, CHARLESTON, SC 29407-5045
(843) 571-3100
(843) 766-7798
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
23765
SC
208D00000X
General Practice Physician
23765
SC
Other
Enumeration date
11/17/2005
Last updated
01/20/2014
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