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Organization

MEDICAL UNIVERSITY OF SOUTH CAROLINA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURENCE STEVEN BLUMENTHAL MD (MEDICAL DIRECTOR)
(843) 792-3664
Entity
Organization

Contact information

Practice address
30 BEE ST STE 102, CHARLESTON, SC 29425-8910
(843) 792-3664
Mailing address
30 BEE ST STE 102, CHARLESTON, SC 29425-8900
(843) 792-3664

Taxonomy

Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary

Other

Enumeration date
07/30/2018
Last updated
07/30/2018
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