Individual
MARC ELLIOTT KUSHINKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2435 FOREST DR, COLUMBIA, SC 29204-2026
(803) 256-5300
Mailing address
PO BOX 935722, ATLANTA, GA 31193-5722
(803) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39482
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
394825
—
SC
Enumeration date
06/07/2016
Last updated
01/04/2022
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