Boyles, Richard

Boyles, Richard is an individual health care provider with primary practice located at 130 Baker St N , Blackville SC 29817-2426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Boyles, Richard can be contacted via phone (803) 284-1045.

Contact Information

Primary practice address
130 Baker St N Blackville SC 29817-2426
Phone: (803) 284-1045
Fax: (803) 284-3094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12925 South Carolina

Profile Details

NPI number 1003820531
LBN Legal business name Boyles, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Mar 19th, 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 1003820531 NPPES
South Carolina Other 12925 MEDICAL LICENSE
South Carolina Other B92027 MEDICAL LICENSE
South Carolina MEDICAID 129257 MEDICAL LICENSE

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