Provider First Line Business Practice Location Address:
MUSC DEPARTMENT OF SURGERY-TRAUMA 96 JONATHAN LUCAS ST
Provider Second Line Business Practice Location Address:
STE 420 CSB MSC 613
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:
843-792-3373
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/28/2016