Individual
LESLIE ELLEN BUNTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-BC
Contact information
Practice address
9339 MEDICAL PLAZA DRIVE, CHARLESTON, SC 29406-9104
(847) 797-7000
Mailing address
1626 DEXTER LN, CHARLESTON, SC 29412-8658
(847) 772-3723
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18062
SC
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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