Bouknight, James Gilder

Bouknight, James Gilder is an individual health care provider with primary practice located at 3555 Harden Street Ext 15 Medical Park Rd., Suite 141, Columbia SC 29203-6894. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Bouknight, James Gilder can be contacted via phone (803) 434-4300.

Contact Information

Primary practice address
3555 Harden Street Ext 15 Medical Park Rd., Suite 141 Columbia SC 29203-6894
Phone: (803) 434-4300
Fax: (803) 434-4277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 14983 South Carolina
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 14983 South Carolina

Profile Details

NPI number 1174584916
LBN Legal business name Bouknight, James Gilder
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jan 7th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174584916 NPPES
South Carolina MEDICAID 149832

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