Provider Demographics
NPI:1801458609
Name:TUSHA, JURGENA (MD)
Entity type:Individual
Prefix:DR
First Name:JURGENA
Middle Name:
Last Name:TUSHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 SOCIETY HILL DR
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-1731
Mailing Address - Country:US
Mailing Address - Phone:803-648-7774
Mailing Address - Fax:803-648-7490
Practice Address - Street 1:420 SOCIETY HILL DR
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-1731
Practice Address - Country:US
Practice Address - Phone:803-306-7733
Practice Address - Fax:803-648-7490
Is Sole Proprietor?:No
Enumeration Date:2019-07-01
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC87996207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine