person
Dr. Jack Wade Brunson JR., MD
Family Medicine Physician in Greer, South Carolina
NPI 1316918253

Jack Wade Brunson JR. is a Family Medicine Physician based in Atlanta, SC. Jack Wade Brunson JR. practices in Greer, SC and has the professional credentials of MD. The NPI Number for Jack Wade Brunson JR. is 1316918253 and holds a License No. 10099 (South Carolina).

The current practice location address for Jack Wade Brunson JR. is 398 The Pkwy, Greer, SC and can be reached out via phone at 864-877-9577 and via fax at 864-877-9073.

Location: 398 The Pkwy, Greer, SC, 30374-3070
person
Provider Profile Details
NPI Number
1316918253
Provider Name
Jack Wade Brunson JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
398 The Pkwy, Greer, SC, 30374-3070
Phone Number
864-877-9577
Fax Number
864-877-9073
Provider Enumeration Date
01/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SCI6605019 01 SC MEDICARE PIN
100991 05 SC
SCI6606067 01 SC MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
398 The Pkwy
City
State
Zip
29650-4569
Phone Number
864-877-9577
Fax Number
864-877-9073
person
Provider Business Mailing Address Details
Address
398 The Pkwy
City
State
Zip
29650-4569
Phone Number
864-877-9577
Fax Number
864-877-9073
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
10099 (South Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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