Mark G Boddy is a Specialist based in Macon, GA. Mark G Boddy practices in Macon, GA. The NPI Number for Mark G Boddy is 1356518682 and holds a License No. 032519 (Georgia).
The current practice location address for Mark G Boddy is 840 Pine St, Macon, GA and can be reached out via phone at 478-738-0404 and via fax at 478-738-0805.
Location: 840 Pine St, Macon, GA, 31201-2100
Provider Profile Details
NPI Number
1356518682
Provider Name
Mark G Boddy
Credential
Provider Entity Type
Organization
Address
840 Pine St, Macon, GA, 31201-2100
Phone Number
478-738-0404
Fax Number
478-738-0805
Provider Enumeration Date
05/15/2008
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GRP3233 | 01 | GA | GROUP |
Provider Business Practice Location Address Details
Address
840 Pine St
City
State
Zip
31201-2100
Phone Number
478-738-0404
Fax Number
478-738-0805
Provider Business Mailing Address Details
Address
840 Pine St
City
State
Zip
31201-2100
Phone Number
478-738-0404
Fax Number
478-738-0805
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
032519 (Georgia)
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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