NPI 1487065504 · live from the CMS NPI Registry
Amanda Marie Bunnell, MD
Anesthesiology in Charleston, SC. National Provider Identifier 1487065504, active.
NPI record
| NPI | 1487065504 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 171 Ashley Ave, Charleston, SC 29425 |
| Practice phone | 843-792-1414 |
| Mailing address | Po Box 751461, Charlotte, NC 28275 |
| Enumerated | May 12, 2014 |
| Last updated | November 24, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | 080162 (GA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Anesthesiology primary | 207L00000X | 83873 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.