Individual
DR. SPENCER WAYNE BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2224 AUGUSTA RD, WEST COLUMBIA, SC 29169-4524
(803) 791-3676
Mailing address
1800 KILLIAN LAKES DR, APT 4101, COLUMBIA, SC 29203-8804
(606) 215-5788
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14297
SC
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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