Provider Demographics
NPI:1154208635
Name:BOVARD, MARGARET MAYLON (PA)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:MAYLON
Last Name:BOVARD
Suffix:
Gender:F
Credentials:PA
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Other - Credentials:
Mailing Address - Street 1:303 S ADAIR ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:SC
Mailing Address - Zip Code:29325-2566
Mailing Address - Country:US
Mailing Address - Phone:724-456-2360
Mailing Address - Fax:
Practice Address - Street 1:160 ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-3808
Practice Address - Country:US
Practice Address - Phone:864-223-8090
Practice Address - Fax:864-223-4026
Is Sole Proprietor?:No
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical