Individual
RICHARD BOYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 BAKER ST N, BLACKVILLE, SC 29817-2426
(803) 284-1045
(803) 284-3094
Mailing address
86 WREN ST, BARNWELL, SC 29812-1529
(803) 259-5762
(803) 259-3250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12925
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12925
MEDICAL LICENSE
SC
05
—
129257
—
SC
01
—
B92027
MEDICARE
SC
Enumeration date
07/28/2006
Last updated
03/19/2024
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