Charles B. Bobo
Ophthalmologist
210 Wells Ave
Greenwood
, South Carolina 29646-3843
Charles B. Bobo
Ophthalmologist
210 Wells Ave
Greenwood
, South Carolina 29646-3843
(864) 227-2823
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Charles B. Bobo
- Po Box 369
- Greenwood, SC
- Zip : 29648-0369
- Fax : (864) 227-2823
- Phone : (864) 227-2020
Second Address
- Charles B. Bobo
- 210 Wells Ave
- Greenwood, SC
- Zip : 29646-3843
- Fax : (864) 227-2823
- Phone : (864) 227-2020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 4656 | SC |
National Provider Identifier
| NPI | 1003813361 |
|---|---|
| Provider Name | Charles B. Bobo |
| First Address | Greenwood, SC 29648-0369 |
| Second Address | Greenwood, SC 29646-3843 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2005 |
| Last Update Date | 15/11/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 046569 | (05) | SC |
| CE6166 | RAILROAD MEDICARE GROUP (01) | SC |
| D99210 | (02) | SC |
| PA0515 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.