Individual
DR. WILLIAM E. BOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10650 PARK RD, CHARLOTTE, NC 28210-8538
(704) 355-2736
(704) 355-1865
Mailing address
200 QUEENS RD, SUITE 400, CHARLOTTE, NC 28204-3252
(704) 333-7376
(704) 333-3397
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
200200204
NC
2085R0001X
Radiation Oncology Physician
23104
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0256593001
CIGNA
—
01
—
1302W
BLUE CROSS
NC
01
—
2210243
UNITED HEALTHCARE
—
01
—
800593
PARTNERS
—
05
—
891302W
—
NC
01
—
B8156
MEDCOST
—
05
—
N00209
—
SC
Enumeration date
03/23/2006
Last updated
12/18/2012
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