Individual
BORIS A ILG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1116 CORNELIA ROAD, ANDERSON, SC 29621
(864) 224-0028
(864) 225-5067
Mailing address
PO BOX 1847 1116 CORNELIA ROAD, ANDERSON, SC 29621
(864) 224-0028
(864) 225-5067
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21618
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216180
—
SC
Enumeration date
12/06/2006
Last updated
07/08/2007
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