Individual
DR. CHARLES DOUGLAS BODINE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3320 OLD JEFFERSON RD BLDG 700, ATHENS, GA 30607-1465
(706) 353-2990
(706) 353-2992
Mailing address
3320 OLD JEFFERSON RD BLDG 800, ATHENS, GA 30607-1400
(706) 353-2990
(706) 353-2992
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
88983
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003251625A
—
GA
Enumeration date
05/21/2015
Last updated
07/16/2024
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