PRUDENCE C MBU

ORANGEBURG, SC
NPI1104025873
Former NamePRUDENCE N CHIA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: SC  38825)
Additional Taxonomies207R00000X Internal Medicine
(Licence: TN  MD44169)
208000000X Pediatrics
(Licence: TN  MD44169)
Enumeration Date2007-07-13
Last Update Date2017-01-09
Business Address
Dr. PRUDENCE C MBU MD
3000 SAINT MATTHEWS RD
ORANGEBURG, SC 29118-1442
Phone number: 803-395-2200
Mailing Address
Dr. PRUDENCE C MBU MD
PO BOX 1245
ORANGEBURG, SC 29116-1245
Phone number: 803-395-4497