Raleigh J Boulware MD

NPI 1063493591 - Radiology - 2085R0001X

NPI Details
NPI 1063493591
Gender Male
Enumeration Date 11/10/2005
Last Updated 10/04/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
7 MEDICAL PARK
SUITE 104
COLUMBIA SC, 29223, US
Phone (803) 434-3400
Fax (803) 434-3938
Business Location
PO BOX 2046
WEST COLUMBIA SC, 29171-2046, US
Phone (803) 461-3000
Fax (803) 461-4914
Toxanomy
Taxonomy Code 2085R0001X
License State South Carolina
License Number 8500
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According to our database, Dr. Raleigh J Boulware MD NPI is 1063493591, taxonomy code is 2085R0001X and license number is 8500, license state is located at South Carolina. Raleigh J Boulware MD physically located at 7 Medical Park, Columbia SC, 29223. NPI Number Raleigh J Boulware MD has the Individual type.

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1063493591 NPI number is provided on an as is basis without warranty of any kind. 1063493591 is maintained by the National Plan & Provider Enumeration System. The contents of Raleigh J Boulware MD are for informational purposes only.