Bodine, Charles Douglas

Bodine, Charles Douglas is an sole proprietor health care provider with primary practice located at 3320 Old Jefferson Rd Bldg 700 , Athens GA 30607-1465. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Bodine, Charles Douglas can be contacted via phone (706) 353-2990.

Contact Information

Primary practice address
3320 Old Jefferson Rd Bldg 700 Athens GA 30607-1465
Phone: (706) 353-2990
Fax: (706) 353-2992
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 88983 Georgia

Profile Details

NPI number 1740669928
LBN Legal business name Bodine, Charles Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2015
Last updated Jul 16th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740669928 NPPES
Georgia MEDICAID 003251625A

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