Individual
DR. CASEY CUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
454 BERRYHILL RD, SUITE A, COLUMBIA, SC 29210-6447
(803) 217-1088
Mailing address
454 BERRYHILL RD, SUITE A, COLUMBIA, SC 29210-6447
(803) 217-1088
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12653
SC
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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