NPI 1568877488 · live from the CMS NPI Registry
Lisa Bush Bostic, MD
Psychiatry & Neurology, Psychiatry in Greenville, SC. National Provider Identifier 1568877488, active.
NPI record
| NPI | 1568877488 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 701 Grove Rd, Dept Of Psychiatry-Miph, Greenville, SC 29605 |
| Practice phone | 864-455-5777 |
| Mailing address | 1 Independence PT Ste 212, Greenville, SC 29615 |
| Enumerated | June 30, 2014 |
| Last updated | June 21, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | 37076 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.