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1639136377
THOMAS RICHARD BOLT
N CHARLESTON, SC
NPI
1639136377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 10991)
Enumeration Date
2006-04-27
Last Update Date
2021-07-06
Business Address
THOMAS RICHARD BOLT MD
9313 MEDICAL PLAZA DRIVE STE 202
N CHARLESTON, SC 29406
Phone number: 843-572-1200
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Mailing Address
THOMAS RICHARD BOLT MD
PO BOX 530062
ATLANTA, GA 30353-0062
Phone number: 843-695-6071
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