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NPI Code Detail

MEDICARE: MARGARET MAYLON BOVARD PA

MEDICARE: MARGARET MAYLON BOVARD PA
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
1363AS0400XSurgical Physician Assistant6119SC

General Provider Information

NPI Number : 1154208635
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET MAYLON BOVARD PA
Provider Business Mailing Address
First Line : 303 S ADAIR ST
Second Line :
City : CLINTON
State : SC
Zip : 29325-2566
Country : US
Telephone Number : 724-456-2360
Fax Number :
Provider Business Practice Location Address
First Line : 160 ACADEMY AVE
Second Line :
City : GREENWOOD
State : SC
Zip : 29646-3808
Country : US
Telephone Number : 864-223-8090
Fax Number : 864-223-4026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2025
Last Update Date : 12/05/2025

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Directions to “ MARGARET MAYLON BOVARD PA” Practice Location

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