Individual
KRISTYN BOZA BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
67 PRESIDENT ST, CHARLESTON, SC 29425-4238
(843) 792-1414
Mailing address
7201 WELLSWOOD LN, KNOXVILLE, TN 37909-2436
(865) 455-6676
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4425
SC
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/29/2021
Last updated
05/18/2024
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