CHRISTOPHER G BOULLION

GRAND STRAND SPECIALTY ASSOCIATES, LLC

Dr CHRISTOPHER G BOULLION is a male medical professional, specializing in Orthopedic Surgery. He graduated in 2004 from Chicago College Of Osteopathic Medicine.

Contact

GRAND STRAND SPECIALTY ASSOCIATES, LLC

8170 ROURK ST
SUITE 150
MYRTLE BEACH
SC
295724127

Tel: 8434492336

CHRISTOPHER G BOULLION Information

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
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
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
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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