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1598709057
KENNETH J BERGMANN
CHARLESTON, SC
NPI
1598709057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
2084N0400X Psychiatry & Neurology Neurology
(Licence: SC 22146)
Enumeration Date
2006-06-15
Last Update Date
2007-07-08
Business Address
KENNETH J BERGMANN MD
171 ASHLEY AVE
CHARLESTON, SC 29425-0001
Phone number: 843-792-1414
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Mailing Address
KENNETH J BERGMANN MD
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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