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1063493591
RALEIGH J BOULWARE
COLUMBIA, SC
NPI
1063493591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: SC 8500)
Enumeration Date
2005-11-10
Last Update Date
2011-10-04
Business Address
Dr. RALEIGH J BOULWARE MD
7 MEDICAL PARK SUITE 104
COLUMBIA, SC 29223
Phone number: 803-434-3400
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Mailing Address
Dr. RALEIGH J BOULWARE MD
PO BOX 2046
WEST COLUMBIA, SC 29171-2046
Phone number: 803-461-3000
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