Individual
DR. CHARLES F BOU-ABBOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
58 BROOKSHIRE LANE, BECKLEY, WV 25801-6765
(304) 252-4900
(304) 252-8470
Mailing address
58 BROOKSHIRE LANE, BECKLEY, WV 25801-6765
(304) 252-4900
(304) 252-8470
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
16314
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6001170000
—
WV
Enumeration date
08/30/2005
Last updated
03/12/2013
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