Dr CHRISTOPHER G BOULLION is a male medical professional, specializing in Orthopedic Surgery. He graduated in 2004 from Chicago College Of Osteopathic Medicine.
GRAND STRAND SPECIALTY ASSOCIATES, LLC
8170 ROURK ST
SUITE 150
MYRTLE BEACH
SC
295724127
Tel: 8434492336
Npi | 1730201112 |
Pac Id | 5193918613 |
Professional Enrollment Id | I20101015001284 |
Last Name | BOULLION |
First Name | CHRISTOPHER |
Middle Name | G |
Suffix | |
Gender | M |
Credential | |
Medical School Name | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 2004 |
Primary Specialty | ORTHOPEDIC SURGERY |
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Organization Legal Name | GRAND STRAND SPECIALTY ASSOCIATES, LLC |
Group Practice Pac Id | 0648451344 |
Number Of Group Practice Members | 12 |
Line 1 Street Address | 8170 ROURK ST |
Line 2 Street Address | SUITE 150 |
Marker Of Address Line 2 Suppression | |
City | MYRTLE BEACH |
State | SC |
Zip Code | 295724127 |
Phone Number | 8434492336 |
Hospital Affiliation Ccn 1 | 420085 |
Hospital Affiliation Lbn 1 | GRAND STRAND REGIONAL MEDICAL CENTER |
Hospital Affiliation Ccn 2 | 420020 |
Hospital Affiliation Lbn 2 | TIDELANDS HEALTH |
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Professional Accepts Medicare Assignment | Y |
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