Marlo Bruno, LLC
Internal Medicine in Pawleys Island, SC. Organization (NPI-2).
NPI number1104452770
StatusActive
Last updated in NPPESMar 16, 2020
Details
- NPI
- 1104452770
- Entity type
- Organization (NPI-2)
- Legal business name
- Marlo Bruno, LLC
- Organization subpart
- No
- Enumeration date
- Mar 16, 2020
- Certification date
- Mar 16, 2020
- Last updated
- Mar 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
191 Preston DrPawleys Island, SC 29585-6320
Phone 610-405-0436
Mailing address
Po Box 761Pawleys Island, SC 29585-0761
Authorized official
Marlo Bruno
Owner
6104050436
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