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Individual

YAW OTCHERE-BOATENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1627 QUARRIER ST, CHARLESTON, WV 25311-2124
(757) 536-2246
Mailing address
1005 CARRINGTON CT, KINGSPORT, TN 37660-5694
(236) 777-0404

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
207P00000X
Emergency Medicine Physician
40708
TN
207R00000X
Internal Medicine Physician
0101242839
VA
207R00000X
Internal Medicine Physician
Primary
29872
WV
207R00000X
Internal Medicine Physician
40708
TN
207RA0401X
Addiction Medicine (Internal Medicine) Physician
FO3926663
TN
208M00000X
Hospitalist Physician
40708
TN
208M00000X
Hospitalist Physician
43217
KY

Other

Enumeration date
02/15/2006
Last updated
02/25/2021
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