Organization
CHARLES H. FOHN M.D.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES FOHN M.D. (CHAIRMAN)
(870) 836-5013
Entity
Organization
Contact information
Practice address
415 HOSPITAL DR, CAMDEN, AR 71701-4615
(870) 836-5013
Mailing address
415 HOSPITAL DR, CAMDEN, AR 71701-4615
(870) 836-5013
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022704754
PALMETTO GBA
AR
05
—
103616001
—
AR
05
—
103652002
—
AR
01
—
13280000000
QUAL CHOICE
AR
01
—
51730
BCBS
—
05
—
770160901
—
AR
Enumeration date
08/07/2007
Last updated
07/03/2009
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