Healthcare Provider Details

I. General information

NPI: 1518033083
Provider Name (Legal Business Name): TERESA L BUSCHER MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 CHURCH ST
SUMTER SC
29150-4202
US

IV. Provider business mailing address

POC MANAGEMENT GROUP LLC 300 W WARNER AVE
SANTA ANA CA
92704
US

V. Phone/Fax

Practice location:
  • Phone: 803-775-3813
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License NumberSC21022
License Number StateSC

VIII. Authorized Official

Name: TERESA BUSCHER
Title or Position: ASST VP
Credential:
Phone: 803-775-3813