Individual
RICHARD BOULWARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1918 RANDOLPH RD, SUITE 400, CHARLOTTE, NC 28207-1196
(704) 384-9437
(704) 384-9440
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-01817
NC
363AM0700X
Medical Physician Assistant
Primary
786
SC
Other
Enumeration date
03/22/2007
Last updated
10/09/2009
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