Individual
ANTHONY L BOSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-5802
(843) 777-5035
Mailing address
PO BOX 100567, FLORENCE, SC 29506-2617
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17531
SC
207P00000X
Emergency Medicine Physician
9801177
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7906425
—
NC
01
—
930120026
RAILROAD
SC
05
—
T12858
—
SC
Enumeration date
04/13/2006
Last updated
05/06/2008
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