Christopher Garrett Boullion, DO | |
920 Doug White Dr Ste 130, Myrtle Beach, SC 29572-4180 | |
(843) 848-1440 | |
(843) 839-1654 |
Full Name | Christopher Garrett Boullion |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 20 Years |
Location | 920 Doug White Dr Ste 130, Myrtle Beach, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730201112 | NPI | - | NPPES |
01429100 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 5101016197 (Michigan) | Secondary |
207X00000X | Orthopaedic Surgery | 1429 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Grand Strand Regional Medical Center | Myrtle beach, SC | Hospital |
Conway Medical Center | Conway, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grand Strand Specialty Associates, Llc | 0648451344 | 14 |
Select Physical Therapy Holdings Inc | 9537076401 | 1557 |
Entity Name | Grand Strand Specialty Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821398512 PECOS PAC ID: 0648451344 Enrollment ID: O20110301000770 |
Mailing Address | Practice Location Address |
---|---|
Christopher Garrett Boullion, DO 920 Doug White Dr Ste 130, Myrtle Beach, SC 29572-4180 Ph: (843) 848-1440 | Christopher Garrett Boullion, DO 920 Doug White Dr Ste 130, Myrtle Beach, SC 29572-4180 Ph: (843) 848-1440 |
David G Everman, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579 Phone: 843-236-3222 Fax: 843-236-3005 | |
Jesse Marsh Putman, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 920 Doug White Dr Ste 130, Myrtle Beach, SC 29572 Phone: 843-848-1440 Fax: 843-839-1654 | |
Steven M Callihan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579 Phone: 843-236-3222 Fax: 843-236-3005 | |
James O Merritt Iv, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579 Phone: 843-236-3222 Fax: 843-236-3005 | |
Dr. Joe N Jarrett Jr., MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579 Phone: 843-236-3222 Fax: 843-236-3005 | |
Nathaniel R Evans, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 210 Village Center Blvd Ste 200, Myrtle Beach, SC 29579 Phone: 843-236-3222 Fax: 843-236-3005 | |
Wayne B Bauerle, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579 Phone: 843-236-3222 Fax: 843-236-3005 |