Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES EDWARD BOULDIN, R.P.T.
Active Sole ProprietorMR. CHARLES EDWARD BOULDIN, R.P.T. is a Specialist healthcare provider located in TUPELO, Mississippi. NPI 1679690101 is currently active in the NPPES registry. Verify at CMS.
Specialist · TUPELO, MS
Registration Details
- NPI Number
- 1679690101
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2007 (19.355060298495 yrs)
- Last Updated
- Nov 8, 2010
- License
-
PT0198 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4749 S EASON BLVDSUITE ATUPELO, MS, 388016547Browse MS providers · Browse ZIP 38801
- Phone
- 6628423336
- Fax
- 6628423363
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in TUPELO, MS
| Name | Credential | NPI |
|---|---|---|
| DR. WALTER W ECKMAN | M.D. | 1699768754 |
| MRS. STEPHANIE QUINN WALKER | PTA | 1962718759 |
| MRS. LENORA LEE GRAYSON | PT, DPT | 1952617722 |
| MR. JOHN PATRICK SMITH | CP | 1972923001 |
| ELISHIA CLANTON | — | 1679241327 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.