Provider First Line Business Practice Location Address:
MEDICAL UNIVERSITY OF SOUTH CAROLINA
Provider Second Line Business Practice Location Address:
39 SABIN STREET MSC 635
Provider Business Practice Location Address City Name:
CHARLESTON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29425
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-431-7710
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/12/2018