Individual
MS. MARY CATHERINE BUNTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9330 MEDICAL PLAZA DR, NORTH CHARLESTON, SC 29406-9104
(843) 797-7000
Mailing address
9330 MEDICAL PLAZA DR, NORTH CHARLESTON, SC 29406-9104
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-09067
NC
363A00000X
Physician Assistant
Primary
4010
SC
363AM0700X
Medical Physician Assistant
C05479
MD
Other
Enumeration date
08/21/2014
Last updated
05/10/2023
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