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-- CHARLES BOLING -- PA

Individual Provider (NPI-1) Active

Physician Assistant

Provider Information

NPI Number
1073589537
Provider Type
Individual Provider (NPI-1)
Credentials
PA
Status
Active

Contact & Location

Address
3780 EISENHOWER PKWY, MACON, GA, 312060800
Phone
(478) 633-5500
Fax
(478) 784-3550

Specialties & Taxonomies

Physician Assistant Primary License: GA #003551

All Addresses

MAILING

598 3RD ST

MACON, GA, 312013357

(478) 633-6706

LOCATION

3780 EISENHOWER PKWY

MACON, GA, 312060800

(478) 633-5500