Individual
JILL HUDGENS BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 HALTON VILLAGE CIR, GREENVILLE, SC 29607-6825
(864) 455-1600
(864) 286-5298
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
32027
SC
207VX0000X
Obstetrics Physician
ME116831
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320272
—
SC
05
—
MFM068
—
SC
01
—
SC92914746
MEDICARE PIN
SC
Enumeration date
06/30/2009
Last updated
01/02/2024
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