Individual
CHARITY MARIE BUKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1330 TAYLOR AT MARION ST, COLUMBIA, SC 29210
(803) 296-5804
(803) 296-2548
Mailing address
1330 TAYLOR AT MARION ST, COLUMBIA, SC 29210
(803) 296-5804
(803) 296-2548
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4178
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100510764
—
NV
Enumeration date
09/20/2006
Last updated
06/17/2014
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