Individual
DR. BRIAN W. BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3725 RIVERS AVE, SUITE 2, NORTH CHARLESTON, SC 29405-7038
(843) 745-8631
(843) 747-6841
Mailing address
112 NIGHT HAWK LN, SUMMERVILLE, SC 29485-7419
(843) 819-2122
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11480
SC
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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