Individual
CATHERINE BOHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7746 LOWER GATEWAY LOOP UNIT 1633, ORLANDO, FL 32827-7213
(407) 717-4321
Mailing address
GRAND STRAND MEDICAL CENTER 809 82ND PARKWAY, GME OFFICE, MYRTLE BEACH, SC 29572
(843) 692-1752
(843) 692-1904
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME162652
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
12/09/2025
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