Individual
WILLIAM DAVID BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
890 W FARIS RD, SUITE 320, GREENVILLE, SC 29605-4253
(864) 455-1200
(864) 455-1209
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6303
(864) 797-6198
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
26988
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269881
—
SC
01
—
P01046673
RAILROAD MEDICARE
SC
Enumeration date
07/03/2007
Last updated
01/26/2018
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