TANNIS JEANETTE BOLTON

ROCK HILL, SC
NPI1629092861
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SC  4475)
Enumeration Date2006-07-27
Last Update Date2023-12-18
Business Address
TANNIS JEANETTE BOLTON PA
1656 RIVERCHASE BLVD STE 1800
ROCK HILL, SC 29732-2084
Phone number: 803-909-1850
Mailing Address
TANNIS JEANETTE BOLTON PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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