Individual
DR. EMILY 'BAMBI' CHILDRESS BOLLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3 MALPHRUS RD STE 101, BLUFFTON, SC 29910
(843) 837-9222
Mailing address
23 CYGNET CT, HILTON HEAD ISLAND, SC 29926-1973
(304) 546-3296
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1462
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA1910E499
MEDICARE
SC
05
—
D14624
—
SC
01
—
P01512740
RAILROAD MEDICARE
SC
Enumeration date
09/21/2006
Last updated
08/18/2018
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