Individual
DR. REX BRUGH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9 RICHLAND MEDICAL PARK, SUITE 500, COLUMBIA, SC 29203-6859
(803) 254-0670
(803) 254-4595
Mailing address
9 RICHLAND MEDICAL PARK, SUITE 500, COLUMBIA, SC 29203-6859
(803) 254-0670
(803) 254-4595
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
SC6455
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064557
—
SC
Enumeration date
11/02/2005
Last updated
07/08/2007
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