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Individual

HEATHER BUNCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-1445
(843) 792-1414
Mailing address
41 S BASILICA AVE, HANAHAN, SC 29410-8684
(803) 517-4995

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4904
SC
363A00000X
Physician Assistant

Other

Enumeration date
05/26/2023
Last updated
10/25/2024
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