Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 5677 | SC |
Y | 2080P0210X | Pediatric Nephrologist | 5677 | SC |
NPI | 1316996499 |
---|---|
Provider Name | Franklin Girard Boineau |
First Address | Greenville, SC 29615-4545 |
Second Address | Greenville, SC 29615-3593 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2006 |
Last Update Date | 24/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
056770 | (05) | SC |
1575217 | CIGNA (01) | SC |
4258454 | AETNA (01) | SC |
57-6007863047 | BLUE CHOICE OF SC (01) | SC |
57-6007863094 | BCBS OF SC (01) | SC |
B88935 | (02) | SC |