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Contact Information

ROGER D BOATWRIGHT, MD
704 N A ST
EASLEY, SC29640-2142
 Phone: 864-859-4480
 Fax: 864-859-3750
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ROGER D BOATWRIGHT · (Male)

NPI # 1386628071
Status Active
Credentials MD
Entity Individual
Enumeration date 12/06/2005
Last updated 05/11/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 22401
  • SC Medicaid L31794
Hospital affiliation(s)
  • BAPTIST EASLEY HOSPITAL - (Acute Care)
    200 FLEETWOOD DRIVE
    EASLEY, SC 29640
  • GREENVILLE MEMORIAL HOSPITAL - (Acute Care)
    701 GROVE RD
    GREENVILLE, SC 29605
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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