Individual
BRADY GUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
114 DOUGHTY ST, CHARLESTON, SC 29425-8914
(843) 792-6296
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
LL87681
SC
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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