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1316918253
JACK WADE BRUNSON
GREER, SC
NPI
1316918253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 10099)
Enumeration Date
2006-01-30
Last Update Date
2020-12-08
Business Address
Dr. JACK WADE BRUNSON M.D.
398 THE PKWY
GREER, SC 29650-4569
Phone number: 864-877-9577
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Mailing Address
Dr. JACK WADE BRUNSON M.D.
PO BOX 743070
ATLANTA, GA 30374-3070
Phone number: 864-560-4304
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