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1609870583
CHARLES BOLICK
BRISTOL, TN
NPI
1609870583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN MD 025833)
Enumeration Date
2005-06-09
Last Update Date
2009-09-16
Business Address
MR. CHARLES BOLICK MD
240 MEDICAL PARK BLVD STE 3000
BRISTOL, TN 37620-7352
Phone number: 423-990-2400
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Mailing Address
MR. CHARLES BOLICK MD
PO BOX 9
KINGSPORT, TN 37662-0009
Phone number: 423-857-2066
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