LISA BUSH BOSTIC

GREENVILLE, SC
NPI1568877488
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: SC  37076)
Enumeration Date2014-06-30
Last Update Date2018-06-21
Business Address
LISA BUSH BOSTIC MD
701 GROVE RD DEPT OF PSYCHIATRY-MIPH
GREENVILLE, SC 29605
Phone number: 864-455-5777
Mailing Address
LISA BUSH BOSTIC MD
1 INDEPENDENCE PT STE 212
GREENVILLE, SC 29615-4536
Phone number:
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