Individual
STEPHEN ANDREW BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
160 ACADEMY AVE, GREENWOOD, SC 29646-3808
(864) 223-8090
(864) 223-4026
Mailing address
104 WELLS AVE, GREENWOOD, SC 29646-3837
(864) 725-4673
(864) 725-7424
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23405
SC
Other
Enumeration date
01/03/2020
Last updated
01/06/2025
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