NPI 1063493591

Raleigh J Boulware, MD

Practitioner Radiation Oncology Physician Columbia, SC

Practice location

Address: 7 Medical Park Suite 104, Columbia, SC 29223
Phone: (803) 434-3400
Fax: (803) 434-3938
Mailing address: PO Box 2046, West Columbia, SC 29171-2046

Registered specialties

Radiation Oncology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0001X Licence 8500 (SC)

Other Radiology providers in South Carolina →

Registry record

NPI: 1063493591
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Nov 2005
Record last updated: 4 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.