Individual
MR. TARAN BHOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
WINN ARMY COMMUNITY HOSPITAL, 1061 HARMON AVE, FORT STEWART, GA 31314-5641
(124) 356-9659
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/11/2017
Last updated
07/28/2020
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