Individual
BRIAN NEWTON BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 PATEWOOD DR, SUITE B480, GREENVILLE, SC 29615-3593
(864) 454-4570
(864) 454-4575
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
30777
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307778
—
SC
Enumeration date
05/30/2008
Last updated
05/19/2021
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