Boulevard Family Practice | |
855 W Broad St Ste A Athens GA 30601-2511 | |
(706) 850-6134 | |
(706) 850-6318 |
Full Name | Boulevard Family Practice |
---|---|
Speciality | Family Medicine |
Location | 855 W Broad St Ste A, Athens, Georgia |
Authorized Official Name and Position | Thomas Weiner (PHYSICIAN) |
Authorized Official Contact | 7068506134 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Boulevard Family Practice 855 W Broad St Ste A Athens GA 30601-2511 Ph: (706) 850-6134 | Boulevard Family Practice 855 W Broad St Ste A Athens GA 30601-2511 Ph: (706) 850-6134 |
NPI Number | 1194133884 |
---|---|
Provider Enumeration Date | 07/26/2014 |
Last Update Date | 07/28/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194133884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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