NPI 1114966165 · live from the CMS NPI Registry
Chris George Boukedes, MD
Anesthesiology in Greenville, SC. National Provider Identifier 1114966165, active.
NPI record
| NPI | 1114966165 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 67 Creekside Park Ct, Greenville, SC 29615 |
| Practice phone | 864-242-4602 |
| Mailing address | 1 Independence PT Ste 212, Greenville, SC 29615 |
| Enumerated | June 5, 2006 |
| Last updated | January 25, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | 10901 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.