Individual
MR. JOSEPH A RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C MPAS
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401
(843) 577-5011
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA002306L
PA
Other
Enumeration date
08/02/2018
Last updated
04/18/2019
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