| Dr Theodore J Bunt, MD | |
|
2 Medical Park Rd, Suite 300, Columbia, SC 29203-6808 | |
| (803) 256-2657 | |
| (803) 255-3451 |
| Full Name | Dr Theodore J Bunt |
|---|---|
| Gender | Male |
| Speciality | Surgery - Vascular Surgery |
| Location | 2 Medical Park Rd, Columbia, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235195264 | NPI | - | NPPES |
| 099841 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 9984 (South Carolina) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 9984 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Theodore J Bunt, MD 15 Medical Park Rd, Suite 300, Columbia, SC 29203-8003 Ph: (803) 255-3417 | Dr Theodore J Bunt, MD 2 Medical Park Rd, Suite 300, Columbia, SC 29203-6808 Ph: (803) 256-2657 |
Michael David Tichenor, MD Surgery Medicare: Medicare Enrolled Practice Location: Surgery Clinic, 1801 Sunset Drive, Columbia, SC 29203 Phone: 803-434-4166 Fax: 803-434-4183 | |
Ms. Taylor C Dieter, DNP, NP-C Surgery Medicare: Accepting Medicare Assignments Practice Location: 220 Graces Way, Columbia, SC 29229 Phone: 180-373-64560 | |
David Deaton, Surgery Medicare: Medicare Enrolled Practice Location: 2 Medical Park Rd Ste 300, Columbia, SC 29203 Phone: 803-545-5800 Fax: 803-254-0821 | |
Dr. Ginger Lynne Manos, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3 Richland Medical Park Dr Ste 330, Columbia, SC 29203 Phone: 803-434-7100 Fax: 803-434-6889 | |
Dr. William Mciver Leppard, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2750 Laurel St Ste 200, Columbia, SC 29204 Phone: 803-409-7130 Fax: 803-252-8280 | |
Dalton Shuler Prickett, M.D. F.A.C.S. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1850 Laurel St, Columbia, SC 29201 Phone: 803-256-3400 Fax: 803-256-2039 | |
Dr. David Douglas Moffat Ii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1850 Laurel St Ste 1a, Columbia, SC 29201 Phone: 803-376-5982 Fax: 803-376-5987 |