IndividualActive
Collin Homer-Bouthiette
NPI 1447815303 · Pulmonary Disease Physician · Columbia, SC
Provider details
- NPI number
- 1447815303
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 1015619 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1333 Taylor St Ste 6f
Columbia, SC 29201-2953
Phone: (803) 296-3273
Fax: (803) 296-7061
Approximate (ZIP-level) locationGet directions
Mailing address
300 E Mcbee Ave Ste 300
Greenville, SC 29601-2899
Additional practice locations (2)
- 20 York StNew Haven, CT 06510-3220Phone: (203) 688-4242
- 41 Mall RdBurlington, MA 01805-3220Phone: (781) 744-8000
Registry dates
- Enumerated
- 2019-05-07
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.