Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | SC4952 | SC |
Y | 207Q00000X | Family Doctor | SC4952 | SC |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | SC4952 | SC |
NPI | 1699708776 |
---|---|
Provider Name | Dr. Arthur M Labruce |
First Address | North Charleston, SC 29406 |
Second Address | North Charleston, SC 29406-9101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 14/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
049520 | (05) | SC |
D177430281 | (02) | SC |