Clydia Paul Rush, | |
114 Hook Ave, West Columbia, SC 29169-5228 | |
(803) 739-4075 | |
Not Available |
Full Name | Clydia Paul Rush |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 114 Hook Ave, West Columbia, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114364213 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 19936 (South Carolina) | Primary |
Mailing Address | Practice Location Address |
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Clydia Paul Rush, 114 Hook Ave, West Columbia, SC 29169-5228 Ph: (803) 739-4075 | Clydia Paul Rush, 114 Hook Ave, West Columbia, SC 29169-5228 Ph: (803) 739-4075 |
Ms. Rhonda Marcale Blackmon, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 141 Villas Ct Apt A, West Columbia, SC 29170 Phone: 803-665-7560 | |
Ms. Donna Taylor Diggins, L.P.N. Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2325 Platt Springs Rd, West Columbia, SC 29169 Phone: 803-739-4198 Fax: 803-739-4186 |