Boddy, Vance W
Boddy, Vance W is an sole proprietor health care provider with primary practice located at 6084 Professional Pkwy Ste C , Douglasville GA 30134-5612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Boddy, Vance W can be contacted via phone (770) 942-1440.Contact Information
Primary practice address
6084 Professional Pkwy Ste C
Douglasville GA 30134-5612
Phone: (770) 942-1440
Fax: (770) 942-2929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 049160 | Georgia |
Profile Details
| NPI number | 1528128162 |
|---|---|
| LBN Legal business name | Boddy, Vance W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Aug 8th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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