Individual
PAUL W BOHAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2875 MAYBANK HWY, JOHNS ISLAND, SC 29455-4808
(843) 559-5333
(843) 559-5339
Mailing address
PO BOX 874, JOHNS ISLAND, SC 29457-0874
(843) 559-5333
(843) 559-5339
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
907
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9762
—
SC
05
—
DO9070
—
SC
Enumeration date
09/25/2006
Last updated
10/27/2008
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