Individual
MS. DIANE BOLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 576-2784
Mailing address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 576-2784
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
38573
SC
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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