Individual
DR. JOSEPHINE S BOHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2306 ROBIOUS STATION CIRCLE, MIDLOTHIAN, VA 23113
(804) 378-3048
(804) 379-5167
Mailing address
PO BOX 247, MIDLOTHIAN, VA 23113
(804) 378-5010
(804) 378-3264
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
VA0101039186
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098270
ANTHEM BS
VA
Enumeration date
09/16/2006
Last updated
08/29/2007
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