Individual
PAULA BOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
370 LOG BRANCH RD, BAMBERG, SC 29003
(803) 245-5176
Mailing address
370 LOG BRANCH RD, BAMBERG, SC 29003-8462
(803) 245-5176
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
37183
SC
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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