MEDICARE: DR. STEPHEN E BOATWRIGHT MD

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	207LP2900X	Pain Medicine (Anesthesiology) Physician	12340	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538157334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN E BOATWRIGHT MD

Provider Business Mailing Address
First Line	:	4736 HIGHWAY 17 BYP S
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29588-5616
Country	:	US
Telephone Number	:	843-213-2039
Fax Number	:	843-293-2454

Provider Business Practice Location Address
First Line	:	4736 HIGHWAY 17 BYP S
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29588-5616
Country	:	US
Telephone Number	:	843-231-2039
Fax Number	:	843-293-2454

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

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	05/07/2026

Similar Medicare Providers

1679974588 — PALMETTO SPINE & PAIN CARE CONSULTANTS, LLC
Practice Location Address:

4736 HIGHWAY 17 BYP S
MYRTLE BEACH, SC
29588-5616

Practice Phone: 843-213-2039
Practice Fax: 843-293-2454

1871987990 — PALMETTO SPINE AND PAIN CARE CONSULTANTS, LLC
Practice Location Address:

4736 HIGHWAY 17 BYP S
MYRTLE BEACH, SC
29588-5616

Practice Phone: 843-213-2039
Practice Fax: 843-293-2454

1467484642 — TOTAL CARE SERVICES, INC.
Practice Location Address:

4736 HIGHWAY 17 BYP S , SUITE A
MYRTLE BEACH, SC
29588-5616

Practice Phone: 843-293-8042
Practice Fax:

1427353085 — WELLNESS ONE, LLC
Practice Location Address:

4736A HWY 17 BYP S
MYRTLE BEACH, SC
29588-5616

Practice Phone: 843-444-9355
Practice Fax:

1285973255 — WELLNESSONE ANCILLARY SERVICES LLC
Practice Location Address:

4736A HIGHWAY 17 BYP S
MYRTLE BEACH, SC
29588-5616

Practice Phone: 843-444-9355
Practice Fax:

1902145865 — MR. KEVIN MICHAEL DEIGHAN LMT
Practice Location Address:

4736 HIGHWAY 17 BYP S
MYRTLE BEACH, SC
29588-5616

Practice Phone: 843-444-9355
Practice Fax: 843-294-0019

Directions to “ DR. STEPHEN E BOATWRIGHT MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.