Individual
DR. DEMARCUS FITZGERALD BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
300 COLLEGE STREET NE, ORANGEBURG, SC 29117
(803) 536-8594
Mailing address
532 NEWBURGH DR, COLUMBIA, SC 29203-3025
(803) 546-7599
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3908
SC
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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