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Ms. Emily Rebecca Bolling, PA-C
Medical Physician Assistant in South Charleston, West Virginia
NPI 1316962863

Emily Rebecca Bolling is a Medical Physician Assistant based in South Charleston, WV and is specialized in Medical. Emily Rebecca Bolling practices in South Charleston, WV and has the professional credentials of PA-C. The NPI Number for Emily Rebecca Bolling is 1316962863 and holds a License No. 1147 (West Virginia).

The current practice location address for Emily Rebecca Bolling is 4605 Maccorkle Ave Sw, South Charleston, WV and can be reached out via phone at 304-766-3600. You can also correspond with Emily Rebecca Bolling through the mailing address at 4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV - 25309 (mailing address contact number: 304-766-3600).

Location: 4605 Maccorkle Ave Sw, South Charleston, WV, 25309
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Provider Profile Details
NPI Number
1316962863
Provider Name
Emily Rebecca Bolling
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4605 Maccorkle Ave Sw, South Charleston, WV, 25309
Phone Number
304-766-3600
Fax Number
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1147 01 WV WV LICENSE
institution
Provider Business Practice Location Address Details
Address
4605 Maccorkle Ave Sw
City
State
Zip
25309-1311
Phone Number
304-766-3600
Fax Number
person
Provider Business Mailing Address Details
Address
4605 Maccorkle Ave Sw
City
State
Zip
25309
Phone Number
304-766-3600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1147 (West Virginia)
Definition
Definition to come...
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