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1073589537
CHARLES BOLING
MACON, GA
NPI
1073589537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 003551)
Enumeration Date
2006-02-24
Last Update Date
2007-07-08
Business Address
-- CHARLES BOLING PA
3780 EISENHOWER PKWY
MACON, GA 31206-0800
Phone number: 478-633-5500
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Mailing Address
-- CHARLES BOLING PA
598 3RD ST
MACON, GA 31201-3357
Phone number: 478-633-6706
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