TIMOTHY BAYNARD BRISTOL LEGARE

CHARLESTON, SC
NPI1346744794
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0129X 
(Licence: SC  93960)
Enumeration Date2018-03-21
Last Update Date2025-04-11
Business Address
TIMOTHY BAYNARD BRISTOL LEGARE MD
30 COURTENAY DRIVE MSC 613
CHARLESTON, SC 29425-4284
Phone number: 843-792-1414
Mailing Address
TIMOTHY BAYNARD BRISTOL LEGARE MD
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number:
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