BOULEVARD FAMILY PRACTICE
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1508392267- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1010 PRINCE AVE STE 184, ATHENS, GA, 306065815
- Phone
- (706) 850-6134
Specialties & Taxonomies
Family Medicine
License: GA #72811
Family Medicine
Primary License: GA #72846