Individual
JAMES H BRUNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1170 BOULEVARD ST, ORANGEBURG, SC 29115-4359
(803) 533-0042
(803) 536-5220
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-4497
(803) 536-0998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8154
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081547
—
SC
01
—
5077175
AETNA
SC
01
—
9167890
CIGNA
SC
Enumeration date
03/08/2006
Last updated
12/17/2009
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