Individual
MICHEAL WILLIAM BUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
8 RICHLAND MEDICAL PARK DR STE 100, COLUMBIA, SC 29203
(803) 434-3800
(803) 744-2759
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
18155
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2393
—
SC
Enumeration date
02/11/2013
Last updated
07/02/2021
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