Provider Demographics
NPI:1467656579
Name:BUSNARDO, MARC STEVEN (M D)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:STEVEN
Last Name:BUSNARDO
Suffix:
Gender:M
Credentials:M D
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Mailing Address - Street 1:8231 PARKLANE RD
Mailing Address - Street 2:SCDHEC BUREAU OF LABORATORIES
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-4903
Mailing Address - Country:US
Mailing Address - Phone:803-896-0658
Mailing Address - Fax:803-896-0983
Practice Address - Street 1:8231 PARKLANE RD
Practice Address - Street 2:SCDHEC BUREAU OF LABORATORIES
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-4903
Practice Address - Country:US
Practice Address - Phone:803-896-0658
Practice Address - Fax:803-896-0983
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC11262207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology