Individual
JOHN BRENTON BUSHKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1125
(843) 724-2010
(843) 724-2005
Mailing address
PO BOX 601495, CHARLOTTE, NC 28260-1495
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
52630
SC
207P00000X
Emergency Medicine Physician
LL52630
SC
Other
Enumeration date
06/11/2018
Last updated
01/23/2023
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