Individual
MELISSA BOYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6941 N TRENHOLM RD STE A, COLUMBIA, SC 29206-1715
(803) 667-4190
(803) 902-8077
Mailing address
6941 N TRENHOLM RD STE A, COLUMBIA, SC 29206-1715
(803) 667-4190
(803) 902-8077
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31065
SC
207Q00000X
Family Medicine Physician
LL31065
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310657
—
SC
Enumeration date
07/02/2008
Last updated
02/27/2024
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