Individual
CHARLES BOHLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
395 UPPER TABORS CREEK RD, FORT GAY, WV 25514
(210) 379-9553
Mailing address
395 UPPER TABORS CREEK RD, FORT GAY, WV 25514
(210) 379-9553
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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