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Contact Information

BRUCE P FRESHLEY JR, MD
3793 MCDOWELL LANE
STE 100
LITTLE RIVER, SC29566-7892
 Phone: 843-390-0100
 Fax: 843-390-0038
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BRUCE P FRESHLEY JR · (Male)

NPI # 1033774633
Status Active
Credentials MD
Entity Individual
Enumeration date 05/08/2019
Last updated 09/18/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 94991
  • SC License # 82649
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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