Christopher Garrett Boullion, D.O.
Orthopaedic Surgery in Myrtle Beach, SC. Individual provider (NPI-1).
NPI number1730201112
StatusActive
Last updated in NPPESJan 26, 2022
Details
- NPI
- 1730201112
- Entity type
- Individual (NPI-1)
- Name
- Christopher Garrett Boullion
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2007
- Certification date
- Feb 21, 2020
- Last updated
- Jan 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 1429 | SC | Yes |
| 207X00000X | Orthopaedic Surgery | 5101016197 | MI |
Practice location
920 Doug White Dr Ste 130Myrtle Beach, SC 29572-4180
Phone 843-848-1440 · Fax 843-839-1654
Mailing address
920 Doug White Dr Ste 130Myrtle Beach, SC 29572-4180
Phone 843-848-1440 · Fax 843-839-1654
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