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1407847023
WALTER J BRISTOW
COLUMBIA, SC
NPI
1407847023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: SC 16268)
Enumeration Date
2005-11-02
Last Update Date
2020-08-11
Business Address
WALTER J BRISTOW MD
2739 LAUREL ST 1-A
COLUMBIA, SC 29204-2028
Phone number: 803-799-4800
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Mailing Address
WALTER J BRISTOW MD
2739 LAUREL ST STE 1A
COLUMBIA, SC 29204-2028
Phone number: 803-799-4800
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