Individual
BRENDAN LUSHBOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-2273
Mailing address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
94512
GA
Other
Enumeration date
04/19/2021
Last updated
01/12/2026
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