Individual
JAMES MAURICE BOSTIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
437 MIDWAY RD, CHERAW, SC 29520-5125
(843) 439-0531
Mailing address
PO BOX 1454, CHERAW, SC 29520-1454
(843) 439-0531
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
008299056
SC
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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