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Individual

DR. BRIAN BOONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15 EXCHANGE DR, LUGOFF, SC 29078-9198
(803) 408-3277
(803) 408-3299
Mailing address
15 EXCHANGE DR, LUGOFF, SC 29078-9198
(803) 408-3277
(803) 408-3299

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2014-02050
NC
207Y00000X
Otolaryngology Physician
40545
SC
207Y00000X
Otolaryngology Physician
TRN#14893
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
405458
SC
Enumeration date
06/27/2010
Last updated
03/27/2026
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