Individual
DR. JAMES L. BUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 DOUGHTY ST, SUITE 460, CHARLESTON, SC 29403-5736
(843) 723-0202
(843) 723-1052
Mailing address
125 DOUGHTY ST, SUITE 460, CHARLESTON, SC 29403-5736
(843) 723-0202
(843) 723-1052
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
8828
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088283
—
SC
Enumeration date
03/16/2006
Last updated
10/10/2007
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