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Derick Bosley
NPI 1033495270 · on the registry since 2011
Practice
- Address
- 1940 Boyd Rd
Scranton, SC 29591 - Phone
- (843) 389-9201
- Organisation at this address
- Palmetto Lake City Operating Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-11-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina