Individual
DR. TERESA L BUSCHOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
380 W WESMARK BLVD, BUILDING B, SUMTER, SC 29150-1977
(803) 607-9430
(803) 607-9431
Mailing address
380 W WESMARK BLVD, BUILDING B, SUMTER, SC 29150-1977
(803) 607-9430
(803) 607-9431
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21022
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210220
—
SC
Enumeration date
07/21/2005
Last updated
01/07/2015
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