NPI 1467184754 · live from the CMS NPI Registry
John Robert Bosland, MD
Psychiatry & Neurology, Neurology in Charleston, SC. National Provider Identifier 1467184754, active.
NPI record
| NPI | 1467184754 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 171 Ashley Ave, Charleston, SC 29425 |
| Practice phone | 843-792-1414 |
| Mailing address | 96 Jonathan Lucas St Csb 301, Msc 606, Charleston, SC 29425 |
| Enumerated | June 27, 2022 |
| Last updated | June 27, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | LL88216 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.