person
Mr. Charles Edward Bouldin, RPT
Specialist in Tupelo, Mississippi
NPI 1679690101

Charles Edward Bouldin is a Specialist based in Tupelo, MS. Charles Edward Bouldin practices in Tupelo, MS and has the professional credentials of RPT. The NPI Number for Charles Edward Bouldin is 1679690101 and holds a License No. PT0198 (Mississippi).

The current practice location address for Charles Edward Bouldin is 4749 S Eason Blvd, Tupelo, MS and can be reached out via phone at 662-842-3336 and via fax at 662-842-3363. You can also correspond with Charles Edward Bouldin through the mailing address at 4749 S EASON BLVD, TUPELO, MS - 38801-6547 (mailing address contact number: 662-842-3336).

Location: 4749 S Eason Blvd, Tupelo, MS, 38801-6547
person
Provider Profile Details
NPI Number
1679690101
Provider Name
Charles Edward Bouldin
Credential
RPT
Provider Entity Type
Individual
Gender
Male
Address
4749 S Eason Blvd, Tupelo, MS, 38801-6547
Phone Number
662-842-3336
Fax Number
662-842-3363
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4749 S Eason Blvd
City
State
Zip
38801-6547
Phone Number
662-842-3336
Fax Number
662-842-3363
person
Provider Business Mailing Address Details
Address
4749 S Eason Blvd
City
State
Zip
38801-6547
Phone Number
662-842-3336
Fax Number
662-842-3363
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
PT0198 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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