Boylan, Melissa

Boylan, Melissa is an individual health care provider with primary practice located at 6941 N Trenholm Rd Ste A , Columbia SC 29206-1715. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Boylan, Melissa can be contacted via phone (803) 667-4190.

Contact Information

Primary practice address
6941 N Trenholm Rd Ste A Columbia SC 29206-1715
Phone: (803) 667-4190
Fax: (803) 902-8077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X LL31065 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31065 South Carolina

Profile Details

NPI number 1790947596
LBN Legal business name Boylan, Melissa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2008
Last updated Feb 27th, 2024 - about last year

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 1790947596 NPPES
South Carolina MEDICAID 310657

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