Bohannon, Edgar Robin

Bohannon, Edgar Robin is an individual health care provider with primary practice located at 1215 George C Wilson Dr Suite 3A, Augusta GA 30909-5700. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Bohannon, Edgar Robin can be contacted via phone (706) 364-2384.

Contact Information

Primary practice address
1215 George C Wilson Dr Suite 3A Augusta GA 30909-5700
Phone: (706) 364-2384
Fax: (706) 364-2380
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 65 Georgia

Profile Details

NPI number 1922062702
LBN Legal business name Bohannon, Edgar Robin
Credentials DOCTOR OF AUDIOLOGY
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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 1922062702 NPPES
Georgia Other 703515 BLUE SHIELD PROVIDER NO

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