Individual
DR. TERRENCE WESTON BRUNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 LINWA BLVD, ANDERSON, SC 29621-4486
(864) 367-0197
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 367-0197
(864) 512-2379
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
31311
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313119
—
SC
01
—
AA72411153
MEDICARE
SC
Enumeration date
02/16/2009
Last updated
07/21/2017
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