Individual
JACQUELYN GREINER BOOHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
823 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 449-1010
(843) 497-6171
Mailing address
823 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 449-1010
(843) 497-6171
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
34.015781
OH
208800000X
Urology Physician
Primary
91295
SC
Other
Enumeration date
05/02/2017
Last updated
04/30/2026
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