Individual
DR. HARRY WADE BOATWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1483 TOBIAS GADSON BLVD STE 201, CHARLESTON, SC 29407-4796
(843) 571-0200
(843) 763-4173
Mailing address
PO BOX 81060, CHARLESTON, SC 29416-1060
(843) 571-0200
(843) 763-4173
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12402
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124029
—
SC
05
—
GP1725
—
SC
Enumeration date
05/26/2006
Last updated
06/29/2019
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