Individual
ASHLEY BUNTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
224 HALEY BROOKE DR, CONWAY, SC 29526-6399
(843) 254-9146
Mailing address
224 HALEY BROOKE DR, CONWAY, SC 29526-6399
(843) 254-9146
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23881
SC
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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