Individual
DR. JAMES GILDER BOUKNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3555 HARDEN STREET EXT, 15 MEDICAL PARK RD., SUITE 141, COLUMBIA, SC 29203-6894
(803) 434-4300
(803) 434-4277
Mailing address
3555 HARDEN STREET EXT, 15 MEDICAL PARK RD., SUITE 300, COLUMBIA, SC 29203-6894
(803) 434-4300
(803) 434-4277
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
14983
SC
2084P0805X
Geriatric Psychiatry Physician
14983
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149832
—
SC
Enumeration date
03/31/2006
Last updated
01/07/2015
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