Individual
DAVID BOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
920 DOUG WHITE DR STE 510, MYRTLE BEACH, SC 29572-4120
(843) 497-7772
(843) 848-7530
Mailing address
920 DOUG WHITE DR STE 510, MYRTLE BEACH, SC 29572-4183
(843) 497-7772
(843) 848-7530
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-02332
KS
363A00000X
Physician Assistant
Primary
2020004735
MO
363A00000X
Physician Assistant
2243
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2062PA
—
SC
Enumeration date
07/19/2006
Last updated
01/05/2026
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