Individual
MR. MICHAEL SINCLAIR BOLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 S FRANKLIN DR, FLORENCE, SC 29501-4251
(843) 229-0312
Mailing address
401 S FRANKLIN DR, FLORENCE, SC 29501-4251
(843) 229-0312
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
106709
SC
Other
Enumeration date
03/08/2015
Last updated
05/27/2015
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