Individual
COLLIN HOMER-BOUTHIETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1333 TAYLOR ST STE 6F, COLUMBIA, SC 29201-2953
(803) 296-3273
(803) 296-7061
Mailing address
300 E MCBEE AVE STE 300, GREENVILLE, SC 29601-2899
(864) 522-8611
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1015619
MA
207RP1001X
Pulmonary Disease Physician
Primary
94122
SC
Other
Enumeration date
05/07/2019
Last updated
08/06/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us