Josephine S Bohannon

NPI #1750487716 in Midlothian, Virginia

Provider Information

NPI Number: 1750487716
Entity Type: Organization
Organization Name: Josephine S Bohannon
Primary Specialty: Dermatology
Enumeration Date: Sep 16, 2006
Last Updated: Jun 27, 2008

Practice Location

Address: 2306 ROBIOUS STATION CIRCLE
City: Midlothian
State: Virginia
ZIP Code: 23113
Phone: (804) 378-3048

Authorized Official

Name: DR. JOSEPHINE S BOHANNON, MD
Title: PRESIDENT OWNER
Phone: (804) 378-3048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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