Individual
MR. CHARLES PETER BUSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
AGAPE SENIOR PRIMARY CARE INC DBA SC HOUSE CALLS, 1400 MAIN STREET, CONWAY, SC 29526
(843) 488-0101
(843) 488-3130
Mailing address
AGAPE SENIOR PRIMARY CARE INC, 1053 CENTER STREET, WEST COLUMBIA, SC 29169-6749
(803) 726-2350
(803) 753-9102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15009
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LL0292
—
SC
Enumeration date
05/31/2006
Last updated
01/02/2019
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