Individual
DR. RYAN JOSEPH BOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
160 ACADEMY AVE, GREENWOOD, SC 29646-3808
(864) 223-8090
Mailing address
160 ACADEMY AVE, GREENWOOD, SC 29646-3808
(864) 223-8090
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5151009272
MI
208600000X
Surgery Physician
Primary
87907
SC
Other
Enumeration date
06/06/2018
Last updated
10/19/2023
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