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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOMINIQUE SAMARANE BULTSMA, MD

Active

DOMINIQUE SAMARANE BULTSMA, MD is a Internal Medicine healthcare provider located in JOHNS ISLAND, South Carolina. NPI 1033733704 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · JOHNS ISLAND, SC

Registration Details

NPI Number
1033733704
Provider Type
Individual
Gender
Female
NPI Issued
May 29, 2020 (6.2271399742286 yrs)
Last Updated
Feb 23, 2026
Licenses
90584 (SC)
LL84222 (SC)

Practice Information

Address
345 FRESHFIELDS DR STE J101
JOHNS ISLAND, SC, 294555443
Browse SC providers · Browse ZIP 29455
Phone
8437684800
Fax
8436068039
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in JOHNS ISLAND, SC

Name Credential NPI
DAVID SEIGNIOUS M.D. 1891726287
C GREGORY MARTIN MD 1023179504
DR. BERNARD MANSHEIM MD 1568820173
DR. MARGARET KATHLEEN ROTH MD 1740805449
BRITTNEY RODRIGUEZ MD 1083357792
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.