Emily Rebecca Bolling in South Charleston - Medical
Emily Rebecca Bolling - NPI 1316962863
Emily Rebecca Bolling is a Medical in South Charleston, . Emily Rebecca Bolling practices all healthcare services and medical treatments related to Medical. The NPI Number for Emily Rebecca Bolling is 1316962863. The last update date is 2022-07-21.
Emily Rebecca Bolling's current location address is 4605 Maccorkle Ave Sw, South Charleston, . You can contact this provider via phone number 3047663600. The mailing address for Emily Rebecca Bolling is 4605 Maccorkle Ave Sw, South Charleston, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Emily Rebecca Bolling |
|---|---|
| Address | 4605 Maccorkle Ave Sw, South Charleston, |
| Phone Number | 3047663600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1316962863 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 4605 Maccorkle Ave Sw |
|---|---|
| City | South Charleston |
| State | (WV) |
| Post Code | 25309 |
| Phone Number | 3047663600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1147 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1147 | WV | WV LICENSE |
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What is the unique 10-digit identifier code issued to Emily Rebecca Bolling by the Centers for Medicare & Medicaid Services?
The Emily Rebecca Bolling has been assigned the NPI (National Provider Identifier) 1316962863 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Emily Rebecca Bolling's physical address?
The Emily Rebecca Bolling is physically located at 4605 Maccorkle Ave Sw, in the city of South Charleston, WV, with the postal code 25309.
What is the Emily Rebecca Bolling's specialty and taxonomy code?
The Emily Rebecca Bolling's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1316962863 to Emily Rebecca Bolling?
The Emily Rebecca Bolling received its 1316962863 assignment from the Centers for Medicare & Medicaid Services on 2006-07-13.
As of what date were the Emily Rebecca Bolling's details last updated?
The information pertaining to the Emily Rebecca Bolling, including its address, specialty, and other details, was most recently updated on 2022-07-21.
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