NPI 1730201112 · live from the CMS NPI Registry
Christopher Garrett Boullion, D.O.
Orthopaedic Surgery in Myrtle Beach, SC. National Provider Identifier 1730201112, active.
NPI record
| NPI | 1730201112 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 920 Doug White Dr Ste 130, Myrtle Beach, SC 29572 |
| Practice phone | 843-848-1440 |
| Enumerated | April 4, 2007 |
| Last updated | January 26, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 5101016197 (MI) |
| Orthopaedic Surgery primary | 207X00000X | 1429 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.