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Individual

ROBERT DRAKE BOLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
MEDICAL UNIVERSITY OF SOUTH CAROLINA, 96 JONATHAN LUCAS STREET, CSB 301, CHARLESTON, SC 29425-6160
(843) 792-3221
Mailing address
96 JONATHAN LUCAS ST, CHARLESTON, SC 29425-8900
(843) 792-3220

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
38040
SC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/28/2011
Last updated
09/10/2015
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