Individual provider · Type 1 NPI

Dominique Samarane Bultsma, MD

Internal Medicine Physician · Johns Island, SC

NPI number 1033733704 Active

Practice location

345 Freshfields Dr Ste J101
Johns Island, SC 29455-5443

Fax (843) 606-8039

Mailing address

PO Box 751649
Charlotte, NC 28275-1649

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000X90584 (SC)
Internal Medicine Physician 207R00000XLL84222 (SC)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1033733704

Dominique Samarane Bultsma, MD's National Provider Identifier is 1033733704, issued on May 29, 2020. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Johns Island, SC. The record was last updated on Feb 23, 2026.