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1114995669
KATHY BOLUS
CHARLESTON, SC
NPI
1114995669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: SC 15226)
Enumeration Date
2006-03-10
Last Update Date
2008-03-05
Business Address
-- KATHY BOLUS MD
650 ELLIS OAK DR
CHARLESTON, SC 29412-3090
Phone number: 843-762-5480
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Mailing Address
-- KATHY BOLUS MD
PO BOX 751357
CHARLOTTE, NC 28275-1357
Phone number: 843-762-5480
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