Individual
ERNEST ANTONIO BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
31 EASTFERN CT, COLUMBIA, SC 29212-2403
(803) 543-4977
Mailing address
31 EASTFERN CT, COLUMBIA, SC 29212-2403
(803) 543-4977
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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