Individual
DR. OWEN CHARLES GRUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1064 GARDNER RD, SUITE 101, CHARLESTON, SC 29407-5768
(843) 766-2983
(843) 571-0601
Mailing address
1064 GARDNER RD, SUITE 101, CHARLESTON, SC 29407-5768
(843) 766-2983
(843) 571-0601
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7146
SC
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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