Boling, Charles

Boling, Charles is an individual health care provider with primary practice located at 3780 Eisenhower Pkwy , Macon GA 31206-0800. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Boling, Charles can be contacted via phone (478) 633-5500.

Contact Information

Primary practice address
3780 Eisenhower Pkwy Macon GA 31206-0800
Phone: (478) 633-5500
Fax: (478) 784-3550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003551 Georgia

Profile Details

NPI number 1073589537
LBN Legal business name Boling, Charles
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073589537 NPPES
Georgia MEDICAID 100002808A

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