Individual
DR. LEE J BOGUSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 785-3590
(803) 785-3595
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
11651
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116519
—
SC
Enumeration date
06/01/2006
Last updated
10/13/2020
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