| Dr Ponce D Bullard Jr, MD | |
|
2728 Sunset Blvd, Suite 310, West Columbia, SC 29169 | |
| (803) 936-8080 | |
| (803) 936-8079 |
| Full Name | Dr Ponce D Bullard Jr |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 2728 Sunset Blvd, West Columbia, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609897313 | NPI | - | NPPES |
| 071273 | Medicaid | SC | |
| 990011971 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 7127 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ponce D Bullard Jr, MD 2728 Sunset Blvd, Suite 310, West Columbia, SC 29169 Ph: (803) 936-8080 | Dr Ponce D Bullard Jr, MD 2728 Sunset Blvd, Suite 310, West Columbia, SC 29169 Ph: (803) 936-8080 |
Mark Hedrick Salley, M.D, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2728 Sunset Blvd Ste 201, West Columbia, SC 29169 Phone: 803-254-1300 Fax: 803-771-7597 | |
Monique Mckiever, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 222 E Medical Ln Ste 300, West Columbia, SC 29169 Phone: 803-739-3570 Fax: 803-739-3575 | |
Dr. Rebecca Brazell Ridenhour, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2728 Sunset Blvd Ste 201, West Columbia, SC 29169 Phone: 803-254-1300 Fax: 803-771-7579 | |
Lisa M Cookingham, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2324 Sunset Blvd, West Columbia, SC 29169 Phone: 803-726-3600 Fax: 803-929-0504 | |
Dr. Karenne Nstang Fru, M.D, PHD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2324 Sunset Blvd, West Columbia, SC 29169 Phone: 803-726-3600 Fax: 803-929-0504 | |
Dr. Edward Davis Tarnawa, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2324 Sunset Blvd, West Columbia, SC 29169 Phone: 803-726-3600 Fax: 803-929-0504 | |
Dr. Janice Lynne Bacon, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 300, West Columbia, SC 29169 Phone: 803-936-8100 Fax: 803-936-8130 |