Provider First Line Business Practice Location Address:
MUSC DEPT OF OTOLARYNGOLOGY HEAD AND NECK
Provider Second Line Business Practice Location Address:
135 RUTLEDGE AVENUE
Provider Business Practice Location Address City Name:
CHARLESTON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29425-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-792-7165
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/04/2013