| 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 |
|---|---|
| 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 |