Individual provider · Type 1 NPI

Theodore J. Bunt, MD

Vascular Surgery Physician · Columbia, SC

NPI number 1235195264 Active

Practice location

2 Medical Park Rd, Suite 300
Columbia, SC 29203-6808

Fax (803) 255-3451

Mailing address

15 Medical Park Rd, Suite 300
Columbia, SC 29203-8003

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X9984 (SC)
Vascular Surgery Physician Primary 2086S0129X9984 (SC)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1235195264

Theodore J. Bunt, MD's National Provider Identifier is 1235195264, issued on Apr 26, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Columbia, SC. The record was last updated on Oct 24, 2007.