DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TANNIS JEANETTE BOLTON PA

MEDICARE: TANNIS JEANETTE BOLTON 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
1363A00000XPhysician Assistant4475SC

General Provider Information

NPI Number : 1629092861
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANNIS JEANETTE BOLTON PA
Provider Business Mailing Address
First Line : PO BOX 2510
Second Line :
City : EVANS
State : GA
Zip : 30809-2510
Country : US
Telephone Number : 706-922-8251
Fax Number : 706-922-6695
Provider Business Practice Location Address
First Line : 131 RINEHART WAY
Second Line :
City : AIKEN
State : SC
Zip : 29803-1703
Country : US
Telephone Number : 803-335-2200
Fax Number : 803-649-7966
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 04/15/2026

Similar Medicare Providers

1013081256 — ERIN P STEWART P.A.-C
Practice Location Address:
131 RINEHART WAY
AIKEN, SC
29803-1703
Practice Phone: 803-335-2200
Practice Fax: 803-649-7966
1740787332 — DR. TIFFANY RENEE' BRYAN DO
Practice Location Address:
131 RINEHART WAY
AIKEN, SC
29803-1703
Practice Phone: 803-335-2200
Practice Fax: 803-649-7966
1265423545 — DR. CHARLES EDWARD MILLWOOD III MD
Practice Location Address:
131 RINEHART WAY
AIKEN, SC
29803-1703
Practice Phone: 803-642-3505
Practice Fax: 803-649-6941
1003810037 — DR. LEOPOLDO M MUNIZ M.D.
Practice Location Address:
131 RINEHART WAY
AIKEN, SC
29803-1703
Practice Phone: 803-335-2200
Practice Fax: 803-649-7966
1477676468 — DR. ROBYN F. FALLAW M.D.
Practice Location Address:
131 RINEHART WAY
AIKEN, SC
29803-1703
Practice Phone: 803-335-2200
Practice Fax: 803-649-7966
1366649931 — DR. DAVID WAYNE ZIMMERMAN M.D.
Practice Location Address:
131 RINEHART WAY
AIKEN, SC
29803-1703
Practice Phone: 803-335-2200
Practice Fax: 803-649-7966

Directions to “ TANNIS JEANETTE BOLTON PA” 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.