Individual
CAROLINE BOLARINWA SAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5832
(843) 852-4100
(305) 891-4228
Mailing address
169 ASHLEY AVENUE, MSC 333, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MMD.84327
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
Enumeration date
06/04/2020
Last updated
05/09/2025
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