| Dr Raleigh J Boulware, MD | |
|
7 Medical Park, Suite 104, Columbia, SC 29223 | |
| (803) 434-3400 | |
| (803) 434-3938 |
| Full Name | Dr Raleigh J Boulware |
|---|---|
| Gender | Male |
| Speciality | Radiology - Radiation Oncology |
| Location | 7 Medical Park, Columbia, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063493591 | NPI | - | NPPES |
| 085008 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 8500 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Raleigh J Boulware, MD Po Box 2046, West Columbia, SC 29171-2046 Ph: (803) 461-3000 | Dr Raleigh J Boulware, MD 7 Medical Park, Suite 104, Columbia, SC 29223 Ph: (803) 434-3400 |
Dr. Jason P Eastlack, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1519 Marion St, Columbia, SC 29201 Phone: 803-296-5954 Fax: 803-296-3076 | |
Dr. James Joseph Farrell, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: Wjb Dorn Vamc, 6439 Garners Ferry Road, Columbia, SC 29209 Phone: 803-695-6811 Fax: 803-695-6745 | |
Gerald Edmund Richmond, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2000 Park St, Columbia, SC 29201 Phone: 803-462-3770 Fax: 803-462-3771 | |
Dr. Robert Wesley Smith, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5 Richland Medical Park Dr, Columbia, SC 29203 Phone: 803-434-7000 | |
Nichole Holmes, RT(R, CT) Radiology Medicare: Not Enrolled in Medicare Practice Location: 6439 Garners Ferry Rd, Columbia, SC 29209 Phone: 803-776-4000 | |
Mrs. Jennifer Cecile Wood, Radiology Medicare: Not Enrolled in Medicare Practice Location: 5 Richland Medical Park Dr, Columbia, SC 29203 Phone: 803-434-6766 |