Dr Ryan Joseph Bolt, DO | |
160 Academy Ave, Greenwood, SC 29646-3808 | |
(864) 223-8090 | |
Not Available |
Full Name | Dr Ryan Joseph Bolt |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 160 Academy Ave, Greenwood, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760974661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 5151009272 (Michigan) | Secondary |
208600000X | Surgery | 87907 (South Carolina) | Primary |
Entity Name | Self Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071 |
Mailing Address | Practice Location Address |
---|---|
Dr Ryan Joseph Bolt, DO 160 Academy Ave, Greenwood, SC 29646-3808 Ph: (864) 223-8090 | Dr Ryan Joseph Bolt, DO 160 Academy Ave, Greenwood, SC 29646-3808 Ph: (864) 223-8090 |
Anas Abdel Azim, M.D., M.SC Surgery Medicare: Accepting Medicare Assignments Practice Location: 160 Academy Ave, Greenwood, SC 29646 Phone: 864-223-8090 Fax: 864-223-4026 | |
Dr. Stephen Greer, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1506 Spring St, Greenwood, SC 29646 Phone: 864-725-7900 Fax: 864-725-7910 | |
Alexandre Wang, Surgery Medicare: Medicare Enrolled Practice Location: 160 Academy Ave, Greenwood, SC 29646 Phone: 864-223-8090 | |
Edward Joseph Rapp Ii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 105 Vinecrest Ct, Ste 500, Greenwood, SC 29646 Phone: 864-227-8932 Fax: 864-227-8973 | |
Dr. Kevin Wright Carson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 160 Academy Ave, Greenwood, SC 29646 Phone: 864-223-8090 Fax: 864-223-4026 | |
Jeffrey E Lanford, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 160 Academy Ave, Greenwood, SC 29646 Phone: 864-223-8090 Fax: 864-223-4026 | |
Connor D Crowley, MD Surgery Medicare: Medicare Enrolled Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 |