Individual
JOHN G BOATWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2060 CHARLIE HALL BLVD, SUITE 201, CHARLESTON, SC 29414-5830
(843) 722-2010
(843) 723-3914
Mailing address
2861 TRICOM ST, NORTH CHARLESTON, SC 29406-9172
(843) 725-0064
(843) 569-7885
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13044
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130441
—
SC
01
—
180033203
RAILROAD MEDICARE
SC
Enumeration date
07/25/2006
Last updated
03/07/2022
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