Provider Demographics
NPI:1679836597
Name:GUSIC, BRITTANY ZUMPETTA (MD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:ZUMPETTA
Last Name:GUSIC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-3633
Mailing Address - Country:US
Mailing Address - Phone:843-488-1700
Mailing Address - Fax:843-488-4301
Practice Address - Street 1:1210 MAIN ST
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-3633
Practice Address - Country:US
Practice Address - Phone:843-488-1700
Practice Address - Fax:843-488-4301
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-18
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV25893207Q00000X
SC83822207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty