Individual
CHADLEY MILTON RUNYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1005 E CHEVES ST, FLORENCE, SC 29506-2707
(843) 777-7900
(843) 777-7925
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7092
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
20909
WV
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
34688
SC
207QS0010X
Sports Medicine (Family Medicine) Physician
4301074767
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
87605
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300441700
—
WV
05
—
346888
—
SC
Enumeration date
05/02/2006
Last updated
04/03/2018
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