MEDICARE: BARBARA BOLTON STONE APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	1230	SC

General Provider Information

NPI Number	:	1144471103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA BOLTON STONE APRN

Provider Business Mailing Address
First Line	:	1300 HOSPITAL DR
Second Line	:	SUITE 270
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-3261
Country	:	US
Telephone Number	:	843-884-5133
Fax Number	:	843-849-3343

Provider Business Practice Location Address
First Line	:	1300 HOSPITAL DR
Second Line	:	SUITE 270
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-3261
Country	:	US
Telephone Number	:	843-884-5133
Fax Number	:	843-849-3343

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/08/2008
Last Update Date	:	02/18/2010

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Directions to “ BARBARA BOLTON STONE APRN” Practice Location

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