Individual
MARK A BOLTNIEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2811 REIDVILLE RD, SUITE 24, SPARTANBURG, SC 29301
(864) 576-6972
Mailing address
2811 REIDVILLE RD, SUITE 24, SPARTANBURG, SC 29301
(864) 576-6972
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1357
SC
Other
Enumeration date
12/26/2006
Last updated
03/20/2008
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