Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 32027 | SC |
N | 207VX0000X | Obstetrician | ME116831 | FL |
NPI | 1447488317 |
---|---|
Provider Name | Jill Hudgens Boland |
First Address | Greenville, SC 29615-4545 |
Second Address | Greenville, SC 29607-6825 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2009 |
Last Update Date | 13/10/2016 |