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Boulware P.a. Inc
Primary Care Clinic/Center in Madison, Georgia
NPI 1073266292

Boulware P.a. Inc is a Primary Care Clinic/Center based in Madison, GA and is specialized in Primary Care. Boulware P.a. Inc practices in Madison, GA. The NPI Number for Boulware P.a. Inc is 1073266292 and holds a License No. (Georgia).

The current practice location address for Boulware P.a. Inc is 216 N Main St, Madison, GA and can be reached out via phone at 706-343-4100.

Location: 216 N Main St, Madison, GA, 30650-0788
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073266292
Provider Name
Boulware P.a. Inc
Credential
Provider Entity Type
Organization
Address
216 N Main St, Madison, GA, 30650-0788
Phone Number
706-343-4100
Fax Number
Provider Enumeration Date
01/28/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
216 N Main St
City
Madison
State
Georgia
Zip
30650-1313
Phone Number
706-343-4100
Fax Number
person
Provider Business Mailing Address Details
Address
216 N Main St
City
Madison
State
Georgia
Zip
30650-1313
Phone Number
706-343-4100
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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