ALLISON BOARDMAN
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1902590102- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1975 LASALLE WAY, MARIETTA, GA, 300628168
- Phone
- (404) 514-0058
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: GA #RN275954
All Addresses
MAILING
1975 LASALLE WAY
MARIETTA, GA, 300628168