Individual
CALVIN JON BOSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
204 W HILL BLVD, CHARLESTON, SC 29404-4704
(843) 963-6852
Mailing address
204 W HILL BLVD, CHARLESTON, SC 29404-4704
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
28183
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281830
—
SC
Enumeration date
10/19/2006
Last updated
03/28/2018
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