Boulware P.A. Inc

LBN: Boulware P.A. Inc
Boulware P.A. Inc is an health care organization with primary practice located at 216 N Main St , Madison GA 30650-1313. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Boulware P.A. Inc can be contacted via phone (706) 343-4100, or through Boulware, Ronald Glen via phone (813) 546-0468.

Contact Information

Primary practice address
216 N Main St Madison GA 30650-1313
Phone: (706) 343-4100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boulware, Ronald Glen Doctor of Medicine (MD)
Phone: (813) 546-0468

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1073266292
LBN Legal business name Boulware P.A. Inc
DBA Doing business as
Authorized official Boulware, Ronald Glen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2022
Last updated Jan 28th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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